耻骨联合分离/耻骨上下支骨折合并骶骨骨折的治疗(附11例报告)  

Treatment of fractures of symphysiolysis / superior and inferior ramus of pubis and sacrum: 11 cases

作　　者：周东生[1] 王先泉[1] 王伯珉[1] 王鲁博[1] 

机构地区：[1]山东省立医院创伤骨科,济南市250021

出　　处：《中华创伤骨科杂志》2004年第4期372-375,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨耻骨联合分离/耻骨上下支骨折合并骶骨骨折的治疗方法。方法应用耻骨联合双钢板加骶骨棒固定11例耻骨联合分离/耻骨上下支骨折合并骶骨骨折,并分析其临床结果。结果11例全部获得随访,随访时间0.5～2年。2例遗留会阴部的麻木和足下垂,后者经胫后肌转位治愈;1例有骶髂部的慢性疼痛,需间断服用止痛药物;其余均恢复满意。结论应用耻骨联合双钢板加骶骨棒固定治疗耻骨联合分离/耻骨上下支骨折合并骶骨骨折可以取得较好的临床效果。Objective To explore the treatment of fractures of symphysiolysis /superior and inferior ramus of pubis and sacrum. Methods We treated 11 cases of fractures of symphysiolysis / superior and inferior ramus of pubis and sacrum with pubic symphysis double plate +sacrum rods, and analyzed the clinical results of the operation. Results All the 11 cases were followed up for a period of 6 months to 2 years. 2 cases had numbness of perineum and foot drop which were cured with posterior tibial muscle tendon translocation. 1 case had chronic pain in sacroiliac region, and needed antalgica occasionally. The others had a satisfactory recovery. Conclusion For fracture of symphysiolysis /superior and inferior ramus of pubis and sacrum, pubic symphysis double plate +sacrum rods can get a good clinical result.

关 键 词：骨盆骨折 耻骨联合分离 骶骨骨折 骶骨棒 耻骨骨折 骨折固定术 手术方法 

分 类 号：R683.3[医药卫生—骨科学]