骨盆牵引固定器的研制与临床运用

Studies and clinical application of Pelvic traction fixator for pelvic fracture

目的对比观察骨盆牵引固定器及布兜悬吊牵引治疗骨盆骨折的临床效果,促进骨盆牵引固定器的运用。方法将63例骨盆骨折患者随机分为两组,治疗组32例:复位后用骨盆牵引固定器外固定,对照组31例:复位后布兜悬吊牵引,两组患者经过治疗并随访1～10年,平均4年。结果治疗组优良率75.0%,对照组优良率41.93%,治疗组疗效优于对照组(<0.05)。结论骨盆牵引固定器具有复位并稳定骨盆骨折端,控制出血、减轻疼痛、减少组织损伤,便于护理、有效提高抢救成功率等作用,是一种治疗骨盆骨折的安全、有效的方法。

Objective To investigate the cilincal effects of pelvic traction fixator for the treatment of pelvic fracture, comparing with those which treated by Budou fixator, and to promote the cilincal application of this fixator. Methods Six-three patients were divided into two groups randomly, the treated group （n=32）and the control group （n=31, respectively）, the patients in treated group were cured by pelvic traction fixator after reposition, another group by wraping up with Budou after reposition. All of them were followed up, which the duration of it ranged from one year to ten years, with an average of four years. The results were evaluated by the Zhao jingtao＇s scoring system. Results The excellent and good rate was 75.0% in treated group and 41.93% in control group. Conclusion The pelvic traction fixator is a more effective and safe instrument, which has the advantages of better replacement, easier manipulation, lessening pain, controling of hemorrhage, reducing tissue damage and facilitating attendance, etc for the treatment of pelvic fracture.