经皮骶髂螺钉与经皮重建钢板内固定治疗TileC型骶骨骨折的对比研究
发布时间：2019-04-28 18:43
【摘要】：目的：对比经皮骶髂螺钉与经皮重建钢板两种内固定方法修复TileC型骶骨骨折的效果差异。方法：回顾性分析63例单侧TileC型骶骨骨折患者的临床资料,其中26例行经皮骶髂螺钉内固定,37例行经皮重建钢板内固定。比较两组患者手术时间、术中出血量、切口总长度、X射线暴露次数、骨折愈合时间等方面的差异,并依据Matta标准和Majeed标准评价临床疗效。结果：63例患者均获得随访12-36个月。所有患者均未出现医源性神经血管损伤、切口感染、内固定松动或断裂、骨折不愈合及双下肢不等长等并发症。两组患者在手术时间、术中出血量、切口总长度、X线暴露次数、Matta标准评价和Majeed标准评价方面的差异有统计学意义,在骨折愈合时间方面的差异无统计学意义。结论：经皮骶髂螺钉内固定术在术中出血量、切口总长度及临床疗效方面优于经皮重建钢板内固定术,但手术风险更大,对技术要求更高,适合有经验的治疗小组应用；经皮重建钢板内固定术在临床疗效方面虽稍不如经皮骶髂螺钉内固定术,但在手术时间、X线暴露次数方面更优,且操作相对简单,便于基层医院推广。
[Abstract]:Objective: to compare the effect of percutaneous sacroiliac screw and percutaneous reconstruction plate in the repair of TileC sacral fracture. Methods: the clinical data of 63 cases of unilateral TileC type sacral fracture were retrospectively analyzed. Among them, 26 cases were treated with percutaneous sacroiliac screw fixation and 37 cases with percutaneous reconstruction plate fixation. The operative time, intraoperative bleeding volume, total incision length, X-ray exposure times and fracture healing time were compared between the two groups. The clinical efficacy was evaluated according to Matta and Majeed criteria. Results: all 63 patients were followed up for 12 months and 36 months. No iatrogenic neurovascular injury, incision infection, loosening or fracture of internal fixation, nonunion of fracture and unequal length of lower limbs were found in all patients. There were significant differences in operation time, intraoperative bleeding volume, total incision length, X-ray exposure times, Matta criteria and Majeed criteria, but no significant difference in fracture healing time between the two groups. Conclusion: percutaneous sacroiliac screw fixation is superior to percutaneous reconstruction plate fixation in blood loss, total incision length and clinical efficacy, but the surgical risk is greater and the technical requirements are higher, so it is suitable for experienced treatment group. The clinical effect of percutaneous reconstruction plate fixation is less than that of percutaneous sacroiliac screw fixation, but the operation time and X-ray exposure times are better, and the operation is relatively simple, which is easy to popularize in basic hospitals.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
本文编号：2467873
[Abstract]:Objective: to compare the effect of percutaneous sacroiliac screw and percutaneous reconstruction plate in the repair of TileC sacral fracture. Methods: the clinical data of 63 cases of unilateral TileC type sacral fracture were retrospectively analyzed. Among them, 26 cases were treated with percutaneous sacroiliac screw fixation and 37 cases with percutaneous reconstruction plate fixation. The operative time, intraoperative bleeding volume, total incision length, X-ray exposure times and fracture healing time were compared between the two groups. The clinical efficacy was evaluated according to Matta and Majeed criteria. Results: all 63 patients were followed up for 12 months and 36 months. No iatrogenic neurovascular injury, incision infection, loosening or fracture of internal fixation, nonunion of fracture and unequal length of lower limbs were found in all patients. There were significant differences in operation time, intraoperative bleeding volume, total incision length, X-ray exposure times, Matta criteria and Majeed criteria, but no significant difference in fracture healing time between the two groups. Conclusion: percutaneous sacroiliac screw fixation is superior to percutaneous reconstruction plate fixation in blood loss, total incision length and clinical efficacy, but the surgical risk is greater and the technical requirements are higher, so it is suitable for experienced treatment group. The clinical effect of percutaneous reconstruction plate fixation is less than that of percutaneous sacroiliac screw fixation, but the operation time and X-ray exposure times are better, and the operation is relatively simple, which is easy to popularize in basic hospitals.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
【参考文献】
相关期刊论文 前1条
1 葛振新;王奔;张东正;刘兆杰;张银光;贾健;;影响Tile C型骨盆损伤髂腰固定术后疗效的相关因素分析[J];中国修复重建外科杂志;2012年11期
，本文编号：2467873
本文链接：https://www.wllwen.com/yixuelunwen/waikelunwen/2467873.html
最近更新
教材专著
