智能监视系统辅助闭合复位治疗复杂骨盆骨折一例  

Intelligent monitoring system assisted pelvic fracture closed reduction for treating one case with complex pelvic fracture

作　　者：陈华 蒋斌 张群 常祖豪 杨子峰 张俭 刘昊扬 唐佩福 CHEN Hua;JIANG Bin;ZHANG Qun;CHANG Zuhao;YANG Zifeng;ZHANG Jian;LIU Haoyang;TANG Peifu(Department of Orthopaedics,First Medical Center,Chinese PLA General Hospital,Beijing,100853,P.R.China;Noitom Technology Ltd.,Beijing,100088,P.R.China;Department of Orthopaedics,Mudanjiang Linye Zhongxin Yiyuan,Mudanjinag Heilongjiang,157011,P.R.China)

机构地区：[1]中国人民解放军总医院第一医学中心骨科,北京100853 [2]北京诺亦腾科技发展有限公司,北京100088 [3]牡丹江林业中心医院骨科,黑龙江牡丹江157011

出　　处：《中国修复重建外科杂志》2020年第7期874-877,共4页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：科技部国家重点研发项目(2016YFE0126200、2017YFC0114002)。

摘　　要：目的介绍骨盆骨折闭合复位智能监视系统辅助闭合复位微创治疗复杂骨盆骨折的经验。方法2019年12月收治1例高处坠落伤致复杂骨盆骨折的30岁男性患者。X线片及CT三维重建诊断为骨盆骨折,国际内固定研究协会/美国骨创伤协会(AO/OTA)分型为61-C3.3型(骶骨H型骨折合并耻骨联合分离)。伤后48 h生命体征平稳后手术,通过骨盆外架、骨牵引、智能监视系统辅助闭合复位、通道螺钉固定治疗。结果术中出血量50 mL,手术时间180 min,透视时间45 s。术后切口愈合良好。术后次日摄骨盆X线片,根据Matta标准评价骨折复位为解剖复位;CT三维重建示固定螺钉均位于骨皮质内,未穿出骨皮质。结论骨盆骨折闭合复位智能监视系统辅助闭合复位微创治疗复杂骨盆骨折可行,能获得较好疗效,减少术中透视时间。Objective To introduce the experience of intelligent monitoring system assisted pelvic fracture closed reduction to treat complex pelvic fracture in a minimally invasive method.Methods A 30-year-old male patient with complex pelvic fracture caused by a falling injury was treated in December 2019.The pelvic fracture was diagnosed by Xray film and CT three-dimensional reconstruction.The AO/Orthopaedic Trauma Association(AO/OTA)classification was 61-C3.3 type(H-shaped sacrum fracture with pubic symphysis separation).At 48 hours after injury,the vital signs were stable,and the operation was performed.The pelvic fracture was reduced with the help of pelvic reduction frame and skeletal traction,the intelligent monitoring system,and fixed with the channel screws.Results The intraoperative blood loss was 50 mL,the operation time was 180 minutes,and the fluoroscopy time was 45 seconds.The incision healed well after operation.The X-ray film of pelvis was taken on the next day after operation,and the fracture reduction was evaluated as anatomical reduction according to Matta standard;CT three-dimensional reconstruction showed that the fixation screws were all located in the cortex of bone,without penetrating the cortex of bone.Conclusion The intelligent monitoring system assisted pelvic fracture closed reduction is reliable in the minimally invasive treatment of complex pelvic fractures,which can achieve good results and reduce intraoperative fluoroscopy.

关 键 词：骨盆骨折 智能监视系统 微创治疗 

分 类 号：R687.3[医药卫生—骨科学]