微创经皮钢板内固定术与皮下内固定支架术治疗骨盆前环骨折患者的效果比较  

Comparison of effects of minimally invasive percutaneous plate internal fixation and subcutaneous internal fixator in treatment of patients with unstable anterior pelvic ring fractures

作　　者：王再军 王兴焱 陈州 WANG Zaijun;WANG Xingyan;CHEN Zhou(Emergency Surgery of Neixiang County People’s Hospital,Nanyang 474350 Henan,China)

机构地区：[1]内乡县人民医院急诊外科,河南南阳474350

出　　处：《中国民康医学》2024年第15期156-158,162,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较微创经皮钢板内固定术与皮下内固定支架术治疗骨盆前环骨折患者的效果。方法:回顾性分析2020年6月至2022年6月该院收治的106例骨盆前环骨折患者的临床资料,根据术式不同将其分为观察组(n=53)、对照组(n=53)。对照组采用皮下内固定支架术治疗,观察组采用微创经皮钢板内固定术治疗,比较两组手术相关指标(住院时间、手术时间、骨折愈合时间、术中出血量)水平、血清骨转化状态指标[骨特异性碱性磷酸酶(BAP)、骨钙素(OCN)、总I型胶原氨基端延长肽(T-P1NP)]水平、骨盆垂直移位距离和并发症发生率。结果:观察组住院时间、手术时间、骨折愈合时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);术后2周,两组血清BAP、OCN水平高于术前,且观察组高于对照组,两组血清T-P1NP水平低于术前,且观察组低于对照组,差异均有统计学意义(P<0.05);术后6个月,两组骨盆垂直移位距离均短于术前,且观察组短于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:微创经皮钢板内固定术治疗骨盆前环骨折患者可改善骨转化状态指标水平,降低手术相关指标水平,缩短骨盆垂直移位距离,效果优于皮下内固定支架术治疗。Objective:To compare effects of minimally invasive percutaneous plate internalfixation and subcutaneous internalfixator in treatment of patients with unstable anterior pelvic ring fractures.Methods:The clinical data of 106 patients with unstable anterior pelvic ring fractures admitted to this hospital from June 2020 to June 2022 were retrospectively analyzed.According to different surgical methods,they were divided into observation group(n=53)and control group(n=53).The control group was treated with subcutaneous internalfixator,while the observation group was treated with minimally invasive percutaneous plate internal fixation.The levels of operation-related indicators(hospitalization time,operation time,fracture healing time,intraoperative blood loss)and serum bone transformation status indicators[bone-specific alkaline phosphatase(BAP),osteocalcin(OCN),total type I collagen amino terminal peptide(T-P1NP)],the pelvic vertical displacement distance,and the incidence of complications were compared between the two groups.Results:The hospitalization time,operation time,and fracture healing time in the observation group were shorter than those in the control group,and intraoperative blood loss in the observation group was less than that in the control group,and the differences were statistically significant(P<0.05).2 weeks after the surgery,the levels of serum BAP and OCN in the two groups were higher than those before the surgery,and those in the observation group were higher than those in the control group;the serum T-P1NP level in the two groups was lower than that before the surgery,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).6 months after the surgery,the pelvic vertical displacement distance levels in the two groups were lower than those before the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant diffe

关 键 词：骨盆前环骨折 微创经皮钢板内固定术 皮下内固定支架术 骨转化 骨盆垂直移位 并发症 

分 类 号：R683.3[医药卫生—骨科学]