摘要
目的探讨外固定支架急诊治疗不稳定骨盆骨折的临床疗效。方法选取2013年6月~2016年8月间我院收治的22例不稳定骨盆骨折采用外固定支架的方式进行治疗,术后定期影像学随访,以患者步态、疼痛情况、肢体长度、髋关节活动度、骨折复位情况等为标准进行综合评价。结果 20例获得随访,随访时间12~42个月,平均(24.0±2.1)个月。术后6个月综合评价,优13例占66%,良4例占25%,可3例占9%,优良率91%。结论对于不稳定型的骨盆骨折,骨盆外固定架能迅速完成骨折的复位固定,能起到积极的抗休克作用,同时既可作为部分不稳定骨折的最终固定方法,也可作为临时固定,是一种简单有效、微创安全的治疗方法。
Objective To investigate the clinical effect of external fixator in the treatment of unstable pelvic fractures. Methods 22 patients with unstable pelvic fractures admitted in our hospital from June 2013 to August 2016 were treat- ed with external fixation. The patients were followed up for radiography regularly and were comprehensively evaluated according to their gait, pain, limb length, hip mobility, fracture reduction. Results 20 cases were followed up for 12-42 months with an average of （24.0±2.1）months. At 6 months after surgery, the comprehensive evaluation was conducted. There were 13 cases of excellence （accounting for 66%）, 4 cases of good （accounting for 25%）, 3 cases of acceptable （accounting for 9%）, with excellent and good rate of 91%. Conclusion For unstable pelvic fractures, pelvic external fixator can quickly complete the fracture fixation, can play a positive anti-shock effect. And the pelvic external fixator can not only be the final fixation of some unstable fractures, but also be a temporary fixation, which is a simple, effec- tive, minimally invasive and safe treatment.
出处
《中国现代医生》
2017年第36期71-73,共3页
China Modern Doctor
关键词
外固定支架
急诊
不稳定
骨盆骨折
External fixator
Emergency
Instability
Pelvic fracture
