改良的经皮逆行耻骨上支或髋臼前柱髓内螺钉置入技术治疗骨盆髋臼损伤  

Modified Percutaneous Retrograde Intramedullary Screw Placement of Superior Pubic Branch or Acetabulum Anterior Column in Treatment of Pelvic Acetabulum Injury

作　　者：高学良 王琳 周正震 祖祎潇 GAO Xueliang;WANG Lin;ZHOU Zhengzhen;ZU Yixiao(Orthopedics Department No.1,Anqing City Wangjiang County Hospital,Anqing,Anhui,246200)

机构地区：[1]安徽省安庆市望江县医院骨一科,安徽安庆246200

出　　处：《智慧健康》2022年第30期142-146,155,共6页Smart Healthcare

摘　　要：目的分析改良的经皮逆行耻骨上支或髋臼前柱髓内螺钉置入技术在骨盆髋臼损伤治疗时的效果以及安全性。方法对本院2018年2月-2021年2月收治的21例行改良的经皮逆行耻骨上支或髋臼前柱髓内螺钉置入技术治疗的骨盆髋臼损伤患者的临床资料进行回顾性分析。结果21例患者共置入螺钉26枚,每枚螺钉置入平均用时为35.38min,平均透视次数为43.5次。术后未发现有医源性神经、血管损伤或精索/子宫圆韧带损伤的情况,切口愈合良好。影像学检查所有螺钉均位于骨内,未出现突入髋臼或突破耻骨支以及髂耻隆起骨皮质等部位。骨折复位优良率达到95.24%。结论改良的经皮逆行耻骨上支或髋臼前柱髓内螺钉置入技术在用于骨盆髋臼损伤治疗时,效果显著,技术安全精准。Objective To analyze effect and safety of modified percutaneous retrograde suprapubic branch or acetabular anterior column intramedullary screw insertion in treatment of pelvic acetabular injury.Methods The paper reviewed and analyzed clinical data of 21 patients with pelvic and acetabular injury treated by modified percutaneous retrograde suprapubic branch or acetabular anterior column intramedullary screw insertion in our hospital from February 2018 to February 2021.Results 26 screws were implanted for 21 patients,with average insertion time of each screw of 35.38 min,average fluoroscopy times of 43.5 times.No iatrogenic nerve,blood vessel injury or spermatic cord/round ligament injury was found after operation,with good incision healing.Imaging examination showed,all screws were located in bone,there was no protrusion into acetabulum or breakthrough of pubic branch and cortex of iliopsymbic eminence,with excellent and good rate of fracture reduction of 95.24%.Conclusion Modified percutaneous retrograde suprapubic branch or acetabular anterior column intramedullary screw placement can achieve significant effect,which is safe and accurate in treatment of pelvic acetabular injury.

关 键 词：髓内螺钉置入 髋臼前柱 耻骨上支 骨盆髋臼损伤 

分 类 号：R687.3[医药卫生—骨科学]