[1]李 琪.脊柱Cervifix板棒系统在骨盆前环骨折经皮内固定术中的应用[J].福建医药杂志,2018,40(06):19-22.
 LI Qi..Application of spinal Cervifix plate-rod system in percutaneous internal fixation of anterior pelvic ring fractures[J].FUJIAN MEDICAL JOURNAL,2018,40(06):19-22.
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脊柱Cervifix板棒系统在骨盆前环骨折经皮内固定术中的应用()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
40
期数:
2018年06期
页码:
19-22
栏目:
临床研究
出版日期:
2018-11-29

文章信息/Info

Title:
Application of spinal Cervifix plate-rod system in percutaneous internal fixation of anterior pelvic ring fractures
文章编号:
1002-2600(2018)06-0019-04
作者:
李 琪
福建医科大学省立临床医学院 福建省立医院急诊外科(福州 350001)李 琪
Author(s):
LI Qi.
Department of Emergency Surgery, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou, Fujian 350001, China
关键词:
脊柱Cervifix板棒系统 骨盆前环骨折 经皮内固定术
Keywords:
spinal Cervifix plate rod system anterior pelvic ring fractures percutaneous internal fixation
分类号:
R687.3
文献标志码:
B
摘要:
目的 探讨脊柱Cervifix板棒系统在骨盆前环骨折经皮内固定术中的应用效果。方法 选择本院2015年1月到2018年1月于收治的骨盆前环骨折患者53例,按随机数表法分为两组。对照组采用常规经皮内固定方式治疗,观察组采用脊柱Cervifix板棒系统进行内固定,术后随访7个月。统计两组患者围术期相关指标,通过X线片检查评估两组患者术前及术后3个月骨折复位情况,按照Majeed盆骨骨折评分评估两组患者术前及术后3个月骨盆功能状况,统计两组患者术后并发症情况。结果 观察组患者术中出血量、手术时间均低于对照组(P<0.05),不完全负重行走时间、骨折愈合时间低于对照组(P<0.05); 手术后3个月,观察组患者各部位骨折位移距离低于对照组(P<0.05); 手术后3个月,观察组患者在疼痛、工作、就坐、站立、性生活上Majeed评分均高于对照组(P<0.05); 两组患者术后并发症发生率无明显改变(P>0.05)。结论 脊柱Cervifix板棒系统应用于骨盆前环骨折经皮内固定术可缩短患者手术时间,减少出血量,骨折愈合时间并改善盆骨功能。
Abstract:
Objective To explore the application effects of spinal Cervifix plate-rod system in the treatment of anterior pelvic ring fractures. Methods A total of 53 patients with anterior pelvic ring fractures admitted to our hospital from January 2015 to January 2018 were selected and divided into two groups according to the random number table method. The control group was treated with conventional percutaneous internal fixation, and the observation group was given spinal Cervifix plate-rod system for internal fixation, and the patients were followed up for seven months after operation. The perioperative related indexes of the two groups were counted. The fracture reduction in the two groups before operation and at three months after operation was evaluated by X-ray examination. The pelvis function in the two groups before operation and at three months after operation was evaluated according to the Majeed pelvic fracture score. The occurrence of postoperative complications was counted in the two groups. Results The intraoperative blood loss and operative time in the observation group were lower than those in the control group(P<0.05), and the incomplete weight walking time and fracture healing time were lower than those in control group(P<0.05). At three months after operation, the displacement distance of each part fracture in the observation group was lower than that in the control group(P<0.05). At three months after operation, the Majeed scores of pain, work, sitting, standing and sexual life in the observation group were higher than those in control group(P<0.05). There was no significant change in the incidence rate of postoperative complications between the two groups(P>0.05). Conclusion Spinal Cervifix plate-rod system for anterior pelvic ring fractures can shorten the operative time, reduce the blood loss and fracture healing time and improve pelvic function.

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更新日期/Last Update: 2018-11-29