逆向经皮空心螺钉固定耻骨上支治疗耻骨支内、外侧骨折的效果

发布时间：2018-05-07 21:45

本文选题：不稳定性骨盆骨折 + 耻骨支骨折　；参考：《广东医学》2017年16期

【摘要】：目的探讨逆向经皮空心螺钉固定耻骨上支治疗耻骨支内、外侧骨折的临床效果。方法对21例存在耻骨上支不稳定性骨折的患者进行逆向经皮空心螺钉固定,记录手术及随访信息,并对耻骨上支内、外侧进行对比,评估临床效果。结果平均手术时间(67.7±15.2)min,其中耻骨上支内侧骨折为(55.3±14.4)min,耻骨上支外侧骨折为(76.5±15.4)min,两者差异有统计学意义(P0.05)。术中出血量平均(42.5±5.2)m L,内、外侧间差异无统计学意义(P0.05)。术后平均随访(9.3±2.2)个月,所有患者均未出现周围器官损伤、伤口感染、褥疮、神经损伤以及肌肉萎缩等并发症。1例耻骨上支外侧骨折病例出现内固定周围骨折,1例耻骨上支外侧骨折病例出现退钉现象,其余所有患者骨折愈合良好。共16例患者完成Majeed评分,耻骨上支内侧骨折患者中5例优,2例良;外侧骨折患者中5例优,3例良,1例可。结论逆向经皮空心螺钉内固定治疗耻骨上支内、外侧骨折是一种安全、有效的治疗方法。其中耻骨上支内侧骨折手术时间更短,但两者临床效果并无明显差异。
[Abstract]:Objective to investigate the clinical effect of retrograde percutaneous hollow screw fixation of superior pubic branch in the treatment of medial and lateral pubic branch fractures. Methods 21 patients with unstable fracture of superior pubic branch were treated with reverse percutaneous hollow screw fixation, the information of operation and follow-up were recorded, and the medial and lateral superior pubic branch were compared to evaluate the clinical effect. Results the average operative time was 67.7 卤15.2min, including 55.3 卤14.4min in the medial fracture of the superior pubic branch and 76.5 卤15.4 min in the lateral fracture of the suprapubic branch. The difference between the two groups was statistically significant (P 0.05). The average volume of intraoperative bleeding was 42.5 卤5.2mL, and there was no significant difference between medial and lateral areas (P 0.05). The average follow-up period was 9.3 卤2.2 months. No peripheral organ injury, wound infection, bedsore were found in all patients. Nerve injury and muscular atrophy. 1 case of lateral fracture of superior pubic branch appeared peripubic fracture and 1 case of lateral fracture of superior branch of pubis appeared denailing phenomenon. All the other patients had good fracture healing. Majeed score was completed in 16 patients, of whom 5 were excellent in medial fracture of superior pubic branch and 3 were good in lateral fracture. Conclusion Percutaneous internal fixation with hollow screw is a safe and effective method for the treatment of medial and lateral fractures of superior pubic branch. The operative time of medial superior pubic branch fracture was shorter, but there was no significant difference between them.
【作者单位】：南雄市人民医院骨科;南方医科大学南方医院创伤骨科;
【基金】：广东省医学科研基金立项课题(编号:A2015510)
【分类号】：R687.3

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