摘要
目的分析骨盆外固定支架治疗骨盆骨折的效果及安全性。方法选择70例骨盆骨折患者作为研究对象,按照随机数字表法分为2组,观察组与对照组各35例,2组患者均给予术前损伤控制性治疗、基础治疗及术后护理与康复指导,观察组35例采用外固定支架手术治疗,对照组35例采用切开复位内固定术治疗,比较2组患者的手术指标、康复指标、临床疗效、并发症发生情况。结果2组患者均接受了12~17个月的随访,平均随访时间(14.73±2.15)个月。至随访结束时,观察组优良率为91.43%,显著高于对照组的80.00%(P<0.05);观察组手术时间、术中出血量、切口长度、住院时间、引流管拔除时间、骨痂形成时间、肿胀消退时间、骨折愈合时间、并发症发生率均显著低于对照组(P<0.05)。结论采用外固定支架治疗骨盆骨折有效缩短了治疗时间、康复时间,降低了术中出血量及术后并发症发生率,促进了骨折愈合。
Objective To analyze the effect and safety of pelvic external fixator in the treatment of pelvic fracture.Method 70 patients with pelvic fractures were included in the study,and the patients were randomly divided into observation group and the control group(n=35).And the patients were given preoperative basic treatment and care in two groups.The patients were treated by external fixation stents in observation group and the patients were treated by open reduction and internal fixation control group.The operative index,rehabilitation index,clinical effect and complications were compared between two groups.Results The patients in both groups were followed up for 12 to 17 months,with an average follow-up time of(14.73±2.15)months.By the end of following-up,the excellent and good rate in the observation group was 91.43%,significantly higher than that in the control group(P<0.05).The operation time,intraoperative blood loss,incision length,hospital stay,drainage tube extraction time,callus formation time,swelling subsided time,fracture healing time and complication rate in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The treatment of pelvic fractures with external fixation stents can effectively shorten treatment time and recovery time,reduce intraoperative blood loss and postoperative complications,and promote fracture healing.
作者
谭希鹏
张帅
郭浩辉
黄建国
TAN Xipeng;ZHANG Shuai;GUO Haohui;HUANG Jianguo(Department of Orthopedics,General Hospital of Ningxia Medical University,Yinchuan 750004,China)
出处
《宁夏医学杂志》
CAS
2019年第11期997-999,共3页
Ningxia Medical Journal
关键词
骨盆骨折
外固定支架
内固定
术后并发症
Pelvic fracture
External fixation bracket
Internal fixation
Postoperative complications
