耻骨联合分离的内固定治疗  

The Internal Fixation of Symphysis Pubis Diastasis

作　　者：刘志新[1] 王继芳[1] 王岩[1] 苗军[1] 张晛[1] 

机构地区：[1]解放军总医院骨科,北京复兴路28号100853

出　　处：《中国矫形外科杂志》2003年第24期1664-1667,共4页Orthopedic Journal of China

摘　　要：目的 :报告一组有耻骨联合分离的严重骨盆骨折患者行切开复位内固定治疗的临床效果 ,探讨其内固定的作用。方法 :1995年 4月～ 2 0 0 1年 1月间收治的有耻骨联合分离的严重骨盆骨折 14例。手术采用Pfannenstiel入路 ,切开复位后以重建钢板固定。术后随访观察骨盆疼痛、步态、骨盆形态等。结果 :14例患者术后耻骨联合均获解剖复位 ,骨盆形态恢复正常 ,经平均 19个月的随访 ,3例耻骨联合后区有不适感及轻度疼痛 ,其余患者均能行中、重体力劳动 ,疗效满意。结论 :内固定可准确恢复骨盆形态 ,维持联结付弓的生物力学特点 ,是治疗耻骨联合分离可靠的方法。Objective:To report the therapeutic effectiveness of open reduction and internal fixation for symphysis pubis diastasis in pelvic fractures and explore the role of that procedure.Methods:From Apr.1995 to Jan.2001,14 patients with symphysis pubis diastasis were treated in the department.All cases underwent open reduction and internal fixation with reconstruction plates through Pfannenstiel approaches.Pelvic pain,gait and pelvic morphology were inspected and followed up.Results:All patients obtained anatomic reduction and resumed pelvic morphology.The post-operative results were satisfactory through an average of 19 months following up despite three patients existing pelvic pain behind symphysis pubis.Conclusion:Open reduction and internal fixation can repair pelvic morphology and biomechanical characteristics and it is an effective method for the treatment of symphysis pubis diastasis in pelvic fractures.

关 键 词：耻骨联合分离 骨盆骨折 内固定 治疗 生物力学 手术 

分 类 号：R687[医药卫生—骨科学]