骨盆内固定支架在骨盆骨折治疗中的临床应用研究  

Study on the clinical application of pelvic internal fixation stent(infix)in the treatment of pelvic fractures

作　　者：丁志勇[1] 罗丽 李毅[1] 黄玉良[1] 巫红波 黄剑伟 DING Zhi-Yong;LUO Li;LI Yi(Department of Orthopaedics,Huizhou Municipal Central Hospitals Huizhou 516001,Guangdong,China)

机构地区：[1]惠州市中心人民医院骨科,广东惠州516001 [2]惠州市中心人民医院高压氧科,广东惠州516001 [3]惠州市中心人民医院急诊科,广东惠州516001

出　　处：《吉林医学》2025年第4期809-812,共4页Jilin Medical Journal

基　　金：2022年惠州市科技计划项目[项目编号:2022CZ010107]。

摘　　要：目的:探讨骨盆内固定支架(infix)在骨盆骨折治疗中的临床应用效果。方法:将惠州市中心人民医院2019年1月~2022年1月103例骨盆骨折患者纳入研究,其中男54例(52.43%),女49例(47.57%),按照治疗方案的不同分为对照组(n=51)与观察组(n=52)。对照组接受常规内固定钢板治疗,观察组给予infix治疗,观察两组围术期相关指标、骨折复位质量、骨折术后功能恢复情况以及术后并发症发生情况。结果:观察组患者手术时间、住院时间均较对照组用时短,且术中出血量较对照组更少,差异有统计学意义(P<0.05);两组患者术后3个月骨折复位质量比较,差异无统计学意义(P>0.05);两组患者术后3个月Majeed评分工作、疼痛以及立位及行走维度得分比较,差异均无统计学意义(P>0.05),坐位和性生活维度得分高于对照组,差异有统计学意义(P<0.05);观察组创面感染率(3.92%)较对照组(18.37%)低,股外侧皮神经损伤、异位骨化率分别为(19.61%、15.69%)均较对照组高(6.12%、2.04%),差异有统计学意义(P<0.05)。结论:采用infix对骨盆骨折患者进行治疗可以有效改善围术期相关指标,减少术后感染的发生,临床治疗效果较好,但术后出现股外侧皮神经损伤等并发症的风险较高,需加强注意。Objective To investigate the therapeutic impact of an infix,or pelvic internal fixation stent,in the management of pelvic fractures.Methods 103 patients with pelvic fractures from January 2019 to January 2022,including 54 males(52.43%)and 49 females(47.57%),were divided into a control group(n=51)and an observation group(n=52).The control group received conventional internal fixation plate treatment,and the observation group received infix treatment to observe the perioperative-related indicators,fracture reduction quality,postoperative functional recovery of fracture,and the incidence of postoperative complications.Results The operation time and hospitalization time of the observation group were shorter than the control group,and the intraoperative bleeding amount was less than the control group(P<0.05).However,there was no significant difference in fracture reduction quality at 3 months between the two groups(P>0.05).The scores of Majeed,work,pain,standing and walking dimensions were not significant(P>0.05),and the scores of sitting and sexual life dimensions were higher than those of the control group(P<0.05).The wound infection rate in the observation group(3.92%)was lower compared with the control group(18.37%),and the rate of lateral skin nerve injury and heterotopic ossification was(19.61%)and(15.69%)were higher(6.12%)and(2.04%)(P<0.05).Conclusions Patients with pelvic fractures treated can effectively improve the perioperative index,reduce the occurrence of postoperative infection,improve the quality of fracture reduction,and promote functional recovery after fracture.However,the risk of complications such as lateral femoral skin nerve injury is high,and more attention is needed.

关 键 词：骨盆骨折 骨盆内固定支架 内固定钢板 骨折复位 

分 类 号：R683.3[医药卫生—骨科学]