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作 者:徐耀宁 黄森 池伟东 张彬 吴俊哲[1] XU Yaoning;HUANG Sen;CHI Weidong;ZHANG Bin;WU Junzhe(Department of Orthopedics,Section One,Zhongshan Traditional Chinese Medicine Hospital,Zhongshan 528400,Guangdong,China)
出 处:《系统医学》2025年第3期104-106,110,共4页Systems Medicine
基 金:中山市社会公益与基础研究项目(2022B1056)。
摘 要:目的分析腰髂固定联合内置固定架(internal fixator,INFIX)治疗Tile B型骨盆骨折的临床疗效。方法回顾性选取2021年1月—2024年6月中山市中医院收治的55例Tile B型骨盆骨折患者的临床资料。根据治疗方法分为两组,对照组(28例)采用骶髂关节螺钉联合外固定架治疗,观察组(27例)采用腰髂固定联合INFIX治疗。比较两组临床疗效、疼痛评分、骨盆功能恢复情况及并发症发生情况。结果观察组的总有效率达96.29%(26/27),较对照组的71.43%(20/28)更高,差异有统计学意义(χ^(2)=4.527,P<0.05)。观察组的疼痛评分低于对照组,且其Majeed骨盆功能评分高于对照组,差异均有统计学意义(P均<0.05)。观察组并发症的发生率低于对照组,差异有统计学意义(P<0.05)。结论腰髂固定联合INFIX治疗Tile B型骨盆骨折在临床疗效、疼痛缓解、功能恢复及安全性方面优于骶髂关节螺钉联合外固定架。Objective To analyze the clinical efficacy of lumbar-iliac fixation combined with internal fixator(INFIX)in the treatment of Tile B pelvic fractures.Methods The clinical data of fifty-five patients with Tile B type pelvic fracture admitted to Zhongshan Traditional Chinese Medicine Hospital from January 2021 to June 2024 were retrospectively selected.They were divided into two groups according to the treatment methods,the control group(twenty-eight cases)was treated with sacroiliac joint screws combined with external fixation,and the observation group(twentyseven cases)was treated with lumbar-iliac fixation combined with INFIX.The clinical efficacy,pain score,recovery of pelvic function and occurrence of complications of the two groups were compared.Results The total effective rate of the observation group was 96.29%(26/27),which was higher than 71.43%(20/28)of the control group,and the difference was statistically significant(χ^(2)=4.527,P<0.05).The pain score of the observation group was lower than that of the control group,and the Majeed pelvic function score was higher than that of the control group,the differences were statistically significant(both P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Lumbar-iliac fixation combined with INFIX for Tile B pelvic fractures is superior to sacroiliac joint screws combined with an external fixator in terms of clinical efficacy,pain relief,functional recovery,and safety.
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