INFIX治疗闭合性非稳定型骨盆骨折的临床疗效  

Clinical efficacy of INFIX in the treatment of closed unstable pelvic fractures

作　　者：朱爱杰 陆圣华[1] 缪国平[1] 秦晓东[2] 徐冠华[3] ZHU Aijie;LU Shenghua;MIAO Guoping(Department of Orthopedics,Rudong People's Hospital,Rudong 226400,CHINA)

机构地区：[1]如东县人民医院骨科,江苏226400 [2]南京医科大学第一附属医院骨科 [3]南通大学附属第二医院脊柱外科

出　　处：《江苏医药》2020年第12期1255-1258,共4页Jiangsu Medical Journal

基　　金：南通市科技计划重点项目(MS22019011)。

摘　　要：目的观察内置外固定支架(INFIX)治疗闭合性非稳定型骨盆骨折的临床疗效。方法回顾性分析闭合性非稳定型骨盆骨折患者65例临床资料,根据手术方式分为INFIX组(35例)和外固定支架组(30例)。采用Matta影像学标准评价两组骨折复位质量,采用Lowa评分和Majeed评分评估两组临床疗效。结果与外固定支架组比较,INFIX组愈合时间短[(9.63±1.50)周vs.(11.10±2.25)周](P<0.05),术后切口或钉道感染率低(2.86%vs.40.00%)(P<0.05),而Matta优良率(88.57%vs.66.67%)、Lowa优良率(97.14%vs.76.67%)和Majeed评分[(83.11±8.87)分vs.(64.93±12.45)分]高(P<0.05)。结论与外固定支架比较,INFIX治疗闭合性非稳定型骨盆骨折疗效较好。Objective To observe the clinical efficacy of internal fixator(INFIX)in the treatment of closed unstable pelvic fractures.Methods Clinical data of 65 patients with closed unstable pelvic fractures were retrospectively analyzed,of whom INFIX was used in 35 cases(group A)and external fixator was used in 30 cases(group B).Matta imaging criteria was used to evaluate the fracture reduction quality,and Lowa assessment and Majeed Scale were used to evaluate the clinical efficacy of two groups.Results Compared with group B,group A had shorter healing time[(9.63±1.50)weeks vs.(11.10±2.25)weeks],lower postoperative incision or nailing infection rate(2.86%vs.40.00%),and higher Matta’s good rate(88.57%vs.66.67%),Lowa’s good rate(97.14%vs.76.67%)and Majeed’s score[(83.11±8.87)points vs.(64.93±12.45)points](P<0.05).Conclusion Compared to external fixator,INFIX has better efficacy in the treatment of closed unstable pelvic fractures.

关 键 词：骨盆骨折 内置外固定支架 

分 类 号：R683[医药卫生—骨科学]