三维图像导航与C型臂X线机透视下经皮螺钉内固定治疗骶髂关节复合体损伤的比较研究

发布时间：2018-03-05 02:12

本文选题：骶髂关节复合体　切入点：损伤　出处：《中国矫形外科杂志》2017年12期 　论文类型：期刊论文

【摘要】：[目的]比较三维图像导航与C型臂X线机透视下经皮置入骶髂关节螺钉治疗骶髂关节复合体损伤的疗效。[方法]回顾性分析2010年6月~2016年5月采用经皮螺钉内固定治疗的47例骶髂关节复合体损伤患者的病例资料,根据辅助置钉的方式不同分为导航组(30例)和透视组(17例)。记录并比较两组术中置入每枚螺钉X线暴露时间、置入时间、螺钉的长度、脱位或骨折复位满意程度、损伤愈合时间及术后功能优良率。[结果]47例患者共置入55枚螺钉,导航组与透视组平均X线暴露时间、每枚螺钉平均置入时间及置入螺钉的长度,两组间比较差异具有统计学意义(P0.05)。术后复查X线片,根据Matta评分标准评定,两组患者复位满意程度差异无统计学意义(P0.05)。术后6个月根据Majeed疗效评定标准进行功能评估,两组功能恢复差异无统计学意义(P0.05)。[结论]三维图像导航下置钉具有精确、安全等特点,与C型臂X线机透视相比,减少了透视时间,提高了置钉优良率,是治疗骶髂关节复合体损伤的一种有效方法。
[Abstract]:[objective] to compare the therapeutic effect of percutaneous placement of sacroiliac joint screw in the treatment of sacroiliac joint complex injury with three-dimensional image navigation and C-arm X-ray machine fluoroscopy. [methods] from June 2010 to May 2016, we retrospectively analyzed the effect of percutaneous screw implantation in the treatment of sacroiliac joint complex injury. Data of 47 cases of sacroiliac joint complex injury treated by fixation. According to the different ways of auxiliary nail placement, they were divided into navigation group (n = 30) and fluoroscopy group (n = 17). The X-ray exposure time, insertion time, screw length, dislocation or satisfactory degree of fracture reduction were recorded and compared between the two groups. [results] A total of 55 screws were implanted in 47 patients. The average X-ray exposure time, the average insertion time and the length of the screws were observed in the navigation group and the fluoroscopy group. The difference between the two groups was statistically significant (P 0.05). According to the Matta score, there was no significant difference in the degree of satisfactory reduction between the two groups. The functional evaluation was made 6 months after operation according to the evaluation standard of Majeed curative effect. There was no significant difference in functional recovery between the two groups (P 0.05). [conclusion] Three-dimensional image navigation under nailing has the characteristics of accuracy and safety. Compared with C-arm X-ray machine, it reduces the fluoroscopy time and improves the excellent and good rate of nailing. It is an effective method to treat sacroiliac joint complex injury.
【作者单位】：广州军区武汉总医院骨科;湖北中医药大学;
【基金】：湖北省自然科学基金项目(编号:2014CFC1052) 湖北省卫生计生西医类一般项目(编号:WJ2015MB119)
【分类号】：R687.3

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