骨科损伤控制在不稳定骨盆骨折治疗中的应用

Applications of Damage Control Orthopedics in Treatment of Unstable Pelvic Fracture

目的：探讨骨科损伤控制在不稳定骨盆骨折治疗中的应用效果。方法：将收治的不稳定骨盆骨折患者60例，随机分为对照组和观察组，各30例，对照组患者给予常规治疗，以骨科损伤控制理念为指导对观察组患者进行分期治疗，统计对比分析2组患者的疗效。结果：观察组16例患者复位效果为优，10例患者复位效果为良，没有复位较差患者；对照组7例患者复位效果为优，12例患者复位效果为良3，例复位结果较差；观察组复位优良率86．66％，相比对照组的复位优良率63．33％差异明显，且差异具有统计学意义（ P＜0．05）。结论：骨科损伤控制在不稳定骨盆骨折治疗中具有明显的应用效果，能够改善骨折复位效果，值得临床推而广之。

Objective：To explore the effects of damage control orthopedics （DCO） in treatment of unstable pelvic fracture .Methods：60 patients with unstable pelvic fractures in our hospital were divided into treatment group and control group with 30 patients each group . Control group was treated with routine therapy .Treatment group were treated by stage therapeutics guided by the bone damage control con -cept.Statistical analysis was used to contrastively analyze the curative effect of two groups .Results： In treatment group, the reduction effects of 16 cases were excellent , 10 cases were good , and there was none reset poor patients .In control group , the reduction effects of 7 cases were excellent, 12 cases were good, and 3 cases were poor.Treatment group showed excellent or good results with a rate of 86. 66%, and control group 63 .33%.There was statistically significant difference in rates of excellent or good results between treatment group and control group （ P〈0 .05 ）. Conclusions： Damage control orthopedics showed obvious effects in treatment of unstable pelvic fracture.Damage control orthopedics could improve the fracture effect and worth clinical promotion .