早期外固定联合后期后路手术治疗合并腹内脏器损伤的Tile C型骨盆骨折

Early external fixation with late posterior approach operation to treat Tile C pelvis fractures with abdominal injuries

目的探讨合并腹内脏器损伤的TlieC型骨盆骨折的治疗方法和临床效果。方法9例合并腹腔内脏器损伤的TileC型骨盆骨折患者,在行腹部手术后均同时采取骨盆外固定器维持骨盆稳定性,待伤情改善后再联合行后路手术治疗,术后均无需进行牵引,继续维持外固定器1～3周。结果骨盆骨折均获得良好复位,X线片显示骨盆畸形纠正,骨盆环完整性和连续性恢复。结论早期外固定联合后期后路手术治疗合并腹内脏器损伤的TileC型骨盆骨折,效果确切,可早期进行功能锻炼,功能恢复满意,是该类型损伤的合理治疗方法。

Objective To study the treatment of Tile C pelvis fractures with abdominal injuries. Methods 9 patients of Tile C pelvis fractures with abdominal injuries were treated by abdominal operation and external fixation initially. When the conditions were improved, the patients were undergone posterior operation with internal fixation. After operation,the traction was abandoned,and external fixation was continued for 1 -3 weeks. Results All pelvis fractures gained good reduction, and abnormality had been corrected, integrity and succession of pelvis were restored on X-ray. Conclusions Earlier external fixation combiniug late posterior approaeh to treat Tile C pelvis fi＇aetures with abdominal organs associated injury are effective, which can permit early＇ functional exercises. It is ideal for this kind of injury.