前环经皮Infix固定联合后路固定治疗垂直不稳定骨盆骨折的效果  

Anterior Loop Percutaneous Infix Fixation Combined with Posterior Sacroiliac Screw Fixation for Vertically Unstable Pelvic Fractures

作　　者：陈华东 尚学红 何建荣 赵宇 杨保家 CHEN Hua-dong;SHANG Xue-hong;HE Jian-rong;ZHAO Yu;YANG Bao-jia(Department of Orthopaedic Trauma,the First Affiliated Hospital of Dali University,Dali,Yunnan,671000,China;Department of Spine Surgery,the First Affiliated Hospital of Dali University,Dali,Yunnan,671000,China)

机构地区：[1]大理大学第一附属医院创伤骨科,云南大理671000 [2]大理大学第一附属医院脊柱外科,云南大理671000

出　　处：《现代生物医学进展》2020年第17期3317-3320,共4页Progress in Modern Biomedicine

基　　金：云南省高校科研联合专项面上项目(201701CH00087)。

摘　　要：目的:探讨前环经皮内固定架(Infix)固定联合后路固定治疗垂直不稳定骨盆骨折的效果。方法:采用回顾性方法,选择本院2013年8月到2018年2月诊治的垂直不稳定骨盆骨折患者61例患者,根据手术方法的不同分为观察组31例与对照组30例,对照组给予钢板内固定治疗,观察组给予前环经皮Infix固定联合后路固定,记录与观察两组预后。结果:所有患者都完成手术,无术中严重并发症发生,观察组的切口长度、术中出血量与骨折愈合时间显著少于对照组(P<0.05),两组手术时间与术中透视次数对比差异无统计学意义(P>0.05)。观察组术后1个月的钉道感染、神经损伤、静脉血栓、切口感染发生率低于对照组(6.5%vs.33.3%, P<0.05)。观察组与对照组术后3个月的Majeed评分优良率分别为93.5%和73.3%,骨折复位优良率分别为96.8%和73.3%,观察组高于对照组(P<0.05)。结论:前环经皮Infix固定联合后路骶髂关节螺钉固定治疗垂直不稳定骨盆骨折能减少创伤,促进骨折愈合,减少术后并发症的发生,提高骨盆复位质量与骨盆功能。Objective: To investigate the effect of anterior loop Infix fixation combined with posterior sacroiliac screw fixation for vertically unstable pelvic fractures. Methods: From August 2013 to February 2018, used the retrospective and summary study methods,61 cases of vertically unstable pelvic fractures were selected and were divided into the 31 cases in the observation group and 30 cases in the control group accorded to the different surgical methods. The control group were treated with steel plate internal fixation, and the observation group were given the anterior loop percutaneous Infix fixation combined with posterior sacroiliac screw fixation, recorded and observed the prognosis of the two groups. Results: All the patients were completed the operation and without serious complications, the length of the incision, the amount of bleeding and the healing time of the fracture in the obseravation group were significantly less than that of the control group(P<0.05), there were no significant difference compared between the two groups of operation time and the frequency of intraoperative fluoroscopy(P>0.05). The postoperative 1 month of incidence of complications such as nail tract infection,nerve injury, ossifying myositis and incision infection in the observation group were lower than the control group(6.5 % vs. 33.3 %, P<0.05).The postoperative 1 months of excellent rate of Majeed score of the observation group and the control group were 93.5 % and 73.3 %respectively, the excellent rate of fracture reduction were 96.8 % and 73.3 %, respectively, and the observation group were higher than the control group(P<0.05). Conclusion: The anterior ring Infix fixation combined with posterior sacroiliac screw fixation for vertically vertical unstable pelvic fracture can reduce trauma, promote fracture healing, reduce postoperative complications, improve pelvic reduction quality and pelvic function.

关 键 词：Infix固定 骶髂关节 垂直不稳定骨盆骨折 骨盆功能 

分 类 号：R683.3[医药卫生—骨科学] R687.3[医药卫生—外科学]