切开复位内固定重建骨盆环治疗骨盆C型骨折的疗效观察
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[摘要] 目的 比较切开复位内固定重建骨盆环治疗骨盆C型骨折与保守治疗的临床治疗效果，探讨最佳治疗方法。 方法 本次实验以本院收治的40例骨盆C型骨折患者为实验对象，将患者平均分为实验组和对照组，每组20例，且两组患者之间差异无统计学意义（P > 0.05）。实验组患者采取切开复位内固定重建骨盆环治疗方式，而对照组患者采取保守的骨折治疗方法，对比分析两组患者的临床治疗效果。 结果 实验组患者中，优14例，良4例，可2例，优良率为90%；对照组优10例，良3例，可6例，差1例，优良率为65%。两组患者的实验数据对比差异有统计学意义（P < 0.05）。 结论 实验表明切开复位内固定重建骨盆环治疗技术对于骨盆C型骨折有较好的临床治疗效果。
[关键词] 切开复位；内固定重建骨盆环；骨盆C型骨折；疗效观察
[中图分类号] R683.3 [文献标识码] A [文章编号] 1674-4721（2012）07（a）-0073-02
Curative effects of type C pelvic fracture by open reduction and internal fixation reconstruction pelvic ring treated
TANG Yanping WANG Chaohui PENG Zhongcai HE Boyong LIU Jianwei XIE Xianyong
The 1st People′s Hospital of Chenzhou City in Hunan Province, Chenzhou 423000, China
[Abstract] Objective To compare the clinical treatment effect of type C pelvic fracture by open reduction and internal fixation reconstruction pelvic ring treated and conservative treatment, in order to discusses the best treatment. Methods This trial took 40 cases with type C pelvic fracture in our hospital for experimental object, all patients were divided into the experimental group and control group on average, each group of 20 cases, and the difference between the two groups were not statistically significant (P > 0.05). The patients took open reduction and internal fixation reconstruction pelvic ring treated in the experimental group, and patients took conservative treatment of fracturesin the control group, the clinical treatment effect was compared between the two groups. Results The patients in the experimental group, the excellent in 14 cases, good in 4 cases, approve in 2 cases, the excellent and good rate was 90%; In the control group the excellent in 10 cases, good in 3 cases, approve in 6 cases, bad in 1 case, the excellent and good rate was 65%. Two sets of patients contrast experimental data was statistically significant difference (P < 0.05). Conclusion The results show that the type C pelvic fracture by open reduction and internal fixation reconstruction pelvic ring treated has good clinical treatment effect.
[Key words] Open reduction; Internal fixation reconstruction pelvic ring; Type C pelvic fracture; Curative effects
创伤性的骨盆C型骨折属于高能量的外伤损害，主要致伤原因在于高空坠落和交通事故等，且通常会伴有其他脏器损伤和失血性休克等症状，具有较高的致残率和死亡率。骨盆C型骨折是指垂直及旋转型的不稳定性骨盆骨折，属于整个骨盆底的彻底性破裂，既包括骶结节韧带和骶棘韧带的损伤，也包括后方骶髂复合体的损伤，这种骨折通常较为严重且病情复杂，在临床治疗上具有一定的困难，已经逐渐成为了临床关注的重点。
1 资料与方法
1.1 一般资料
本次实验以本院2005年1月～2011年3月收治的40例骨盆C型骨折患者为实验对象，患者年龄12～56岁，平均45.7岁。所有患者治疗前均按照Tile标准进行了检查，且确诊为骨盆C型骨折，其中，C1型30例，C2型6例，C3型4例。受伤原因包括重物压伤4例，高处坠落伤12例，交通伤24例。合并伤害包括膀胱损伤2例，股骨转子间骨折4例，耻骨支骨折12例，耻骨联合分离6例，颅脑损伤4例，合并失血性休克6例。将患者平均分为实验组和对照组，每组20例，并保证两组患者之间的一般资料差异无统计学意义（P > 0.05）。