微创经皮桥式内固定支架在不稳定骨盆骨折中的应用效果及对稳定性、创伤反应的影响  

Application Effect of Minimally Invasive Percutaneous Bridge Internal Fixation Stent in Patients with Unstable Pelvic Fracture and Its Influence on Stability and Trauma Response

作　　者：陆伟[1] 钱鸣雷 LU Wei;QIAN Minglei(Changshu Second People’s Hospital,Jiangsu Province,Changshu 215500,China;不详)

机构地区：[1]江苏省常熟市第二人民医院,江苏常熟215500

出　　处：《中国医学创新》2022年第25期5-8,共4页Medical Innovation of China

摘　　要：目的:探究及观察微创经皮桥式内固定支架在不稳定骨盆骨折中的应用效果及对稳定性、创伤反应的影响。方法:选取2019年10月-2020年12月常熟市第二人民医院收治的86例不稳定骨盆骨折患者,根据随机数字表法分为两组,每组43例。对照组采用外固定支架治疗,观察组采用微创经皮桥式内固定支架治疗。比较两组功能状态(Majeed评分)、稳定情况(Matta评分)、创伤反应指标(血清白蛋白、前白蛋白、转铁蛋白)及炎症因子[白介素-1β(IL-1β)、白介素-6(IL-6)、白介素-10(IL-10)]。结果:术后6、12个月,观察组Majeed评分优良率均高于对照组,差异均有统计学意义(P<0.05)。术后6、12个月,观察组Matta评分优良率均高于对照组,差异均有统计学意义(P<0.05)。术后3、7 d,观察组白蛋白、前白蛋白、转铁蛋白均高于对照组,IL-β、IL-6及IL-10均低于对照组,差异均有统计学意义(P<0.05)。结论:微创经皮桥式内固定支架对不稳定骨盆骨折患者的稳定性及创伤反应具有更好的影响作用。Objective:To investigate and observe the application effect of minimally invasive percutaneous bridge internal fixation stent in patients with unstable pelvic fracture and its influence on stability and trauma response.Method:A total of 86 patients with unstable pelvic fractures admitted to the Changshu Second People’s Hospital from October 2019 to December 2020 were selected,they were divided into two groups according to the random number table method,with 43 cases in each group.The control group was treated with external fixation stent,and the observation group was treated with minimally invasive percutaneous bridge internal fixation stent.The functional status(Majeed scores),stability(Matta scores),trauma response indicators(serum albumin,prealbumin and transferrin)and inflammatory factors[interleukin-1β(IL-1β),interleukin-6(IL-6),interleukin-10(IL-10)]were compared between two groups.Result:At 6 and 12 months after operation,the excellent and good rates of Majeed scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).At 6 and 12 months after operation,the excellent and good rates of Matta scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).3,7 d after operation,the levels of albumin,prealbumin and transferrin of the observation group were higher than those of the control group,and the levels of IL-β,IL-6 and IL-10 of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The influence role of minimally invasive percutaneous bridge internal fixation stent for stability and trauma response of patients with unstable pelvic fracture is better.

关 键 词：微创经皮桥式内固定支架 不稳定骨盆骨折 稳定性 创伤反应 

分 类 号：R687.3[医药卫生—骨科学]