摘要
目的:探讨骨盆骨折所致坐骨神经损伤的创伤机制及影响预后的相关因素.方法:分析本组骨盆骨折所致的坐骨神经损伤共53例:39例行骨盆骨折复位内固定、坐骨神经探查松解手术治疗,14例保守治疗.结果:获得随访47例,随访12个月～6年,平均2年.根据MCRR标准,手术治疗组优19例、良10例、一般4例、差1例,保守治疗组优6例、良2例、一般3例、差2例.结论:骨盆骨折致坐骨神经损伤者宜早期行骨折复位内固定,坐骨神经探查松解减压或束膜吻合,可获得较好疗效.
Objective: To study the mechanism and prognostic factors of the sciatic nerve injries caused by pelvis fracture. Method:The clinical characters of 53 cases with injuries of the sciatic nerve were observed. Fourteen cases among them were treated with non-surgical methods, while the other 39 cases were operated with the open reduction, internal fixation and neurolysis .Result: All the 53 cases were followed up. The follow-up period lasted from 1 year to 6 years with an average of 2 years. According to MRCC criteria, there were 19 excellent cases, 10 good cases, 4 fair cases, 1 poor case in surgical group and 6 excellent cases, 2 good cases, 3 fair cases, 2 poor cases in the non-surgical group.Conclusion:Early operation and neurolysis can contribute to better prognosis of the sciatic nerve injuries caused by pelvis fracture.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第10期729-730,共2页
Orthopedic Journal of China
关键词
骨盆
骨折
坐骨神经
预后
Pelvis
Fracture
Sciatic nerve
Prognosis
