经皮内固定治疗老年不稳定型骨盆骨折

发布时间：2018-10-31 08:34

【摘要】：目的总结应用经皮内固定治疗老年不稳定型骨盆骨折的疗效。方法应用经皮内固定治疗老年不稳定型骨盆骨折16例。采用Tile分型:B1型1例、B2型10例、B3型2例;C1型3例。主要固定方式为C臂X线机引导下行经皮骶髂螺钉固定和经皮耻骨上支螺钉固定。结果平均手术时间44 min;平均失血量42 m L;平均透视26次。住院时间12~31 d,平均19 d。所有切口均一期愈合,无切口感染、神经与血管损伤、下肢深静脉血栓与肺栓塞发生。16例获随访12~36个月,平均随访24.8个月。所有患者骨折均愈合,愈合时间10~21周,平均14周。按Matta评分标准,骨折复位情况均为优。Majeed功能评分,优14例,良1例,中1例,优良率93.8%。结论经皮内固定术具有手术操作简便、创伤小、并发症少等优点,治疗老年不稳定型骨盆骨折的临床效果满意,值得推广。
[Abstract]:Objective to summarize the effect of percutaneous internal fixation in the treatment of unstable pelvic fractures in the elderly. Methods 16 cases of senile unstable pelvic fractures were treated with percutaneous internal fixation. Tile classification was used in 1 case of type B1, 10 cases of B2 type, 2 cases of B3 type and 3 cases of C1 type. The main fixation methods were percutaneous sacroiliac screw fixation and percutaneous superior pubic branch screw fixation guided by C-arm X-ray machine. Results the mean operative time was 44 min;, the mean blood loss was 42 mL, and the average fluoroscopy was 26 times. The hospitalization time was 12 ~ 31 days, with an average of 19 days. All the incisions healed at the first stage without wound infection nerve and blood vessel injury deep vein thrombosis and pulmonary embolism of lower extremity. 16 cases were followed up for 12 ~ 36 months with an average follow-up of 24.8 months. All the fractures healed, the healing time was 10 ~ 21 weeks (mean 14 weeks). According to Matta score, fracture reduction was excellent, Majeed functional score was excellent in 14 cases, good in 1 case, moderate in 1 case, the excellent and good rate was 93.8%. Conclusion Percutaneous internal fixation has the advantages of simple operation, less trauma and less complications. The clinical effect of the treatment of unstable pelvic fractures in the elderly is satisfactory and worth popularizing.
【作者单位】：清远市人民医院骨科;
【基金】：广东省医学科学技术研究基金项目(编号:A2015246) 清远市科技计划项目(编号:2014A004)
【分类号】：R687.3

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