外固定支架与内固定治疗对创伤性骨盆骨折的临床疗效对比研究  

A Comparative Study on the Clinical Efficacy of External Fixation and Internal Fixation in the Treatment of Traumatic Pelvic Fractures

作　　者：李光磊 李怡然 刘兆兴 王善夫 LI Guanglei;LI Yiran;LIU Zhaoxing;WANG Shanfu(Department of Orthopaedics,Hospital for the First Mobile Corps of PAP,Dingzhou 067000,China;Military Casualty Management Section,Hospital for the First Mobile Corps of PAP,Dingzhou 067000,China;Fourth Medical Center of Chinese PLA General Hospital,Beijing 100000,China)

机构地区：[1]武警第一机动总队医院外一科,河北定州073000 [2]武警第一机动总队医院管理科,河北定州073000 [3]中国人民解放军总医院第四医学中心,北京100000

出　　处：《转化医学杂志》2024年第3期385-387,395,共4页Translational Medicine Journal

摘　　要：目的对比外固定支架与内固定治疗创伤性骨盆骨折患者的临床效果。方法本研究采用回顾性研究方法,选取2019年1月至2024年2月在武警第一机动总队医院治疗的102例不稳定型骨盆骨折患者为研究对象,其中54例患者采用内固定手术治疗(内固定组),48例采用外固定支架治疗(外固定组)。对比2组患者手术时间、术中透视次数、骨折愈合时间、骨折复位质量、骨痂形成情况、肢体功能恢复情况。结果内固定组手术时间、骨折愈合时间长于外固定组,术后透视次数少于外固定组,差异均有统计学意义(P<0.05)。内固定组Matta标准优良率83.33%,外固定组为79.17%,内固定组手术复位效果优于外固定组,差异具有统计学意义(P<0.05);在术后8周、术后12周,内固定组骨痂形成评分均高于外固定组,差异具有统计学意义(P<0.05);内固定组肢体功能达优率为57.41%,外固定组为43.75%,内固定组优于外固定组(P<0.05)。结论外固定支架治疗创伤性骨盆骨折患者操作简便,手术时间短,但在骨折复位、骨痂形成及术后肢体功能恢复方面均不如内固定手术效果。Objective To compare the clinical effects of external fixation and internal fixation treatments for patients with traumatic pelvic fractures.Methods This study employed a retrospective research design and selected 102 patients with unstable pelvic fractures who were treated at the Hospital for the First Mobile Corps of PAP from January 2019 to February 2024.Among them,54 patients underwent internal fixation surgery(internal fixation group),and 48 patients were treated with external fixation(external fixation group).The surgical duration,intraoperative fluoroscopy frequency,fracture healing time,fracture reduction quality,callus formation,and limb function recovery were compared between the two groups.Results Compared to the external fixation group,the internal fixation group had longer surgical duration and fracture healing time,but fewer intraoperative fluoroscopy exposures,with statistically significant differences(P<0.05).The excellent and good rate according to the Matta standard was 83.33%in the internal fixation group and 79.17%in the external fixation group.The internal fixation group demonstrated better surgical reduction outcomes,with statistically significant differences(P<0.05).At 8 weeks and 12 weeks postoperatively,the callus formation score in the internal fixation group was higher than in the external fixation group,with statistically significant differences(P<0.05).The excellent rate of limb function recovery was 57.41%in the internal fixation group,compared to 43.75%in the external fixation group,with statistically significant differences(P<0.05).Conclusion Ex ternal fixation is a simple and rapid treatment option for traumatic pelvic fractures,but it is less effective than internal fixation in terms of fracture reduction quality,callus formation,and postoperative functional recovery.

关 键 词：创伤 骨盆骨折 骨折固定术 内 外固定器 疗效对比研究 

分 类 号：R683.305[医药卫生—骨科学]