手术治疗不稳定型骨盆骨折24例

24 cases of surgery treatment of Unstable Pelvis fracture

目的探讨手术治疗不稳定型骨盆骨折的临床效果。方法回顾性分析本院近年来收治的24例不稳定型骨盆骨折的患者的临床资料。结果24例不稳定型骨盆骨折的患者,手术时间1～8h,平均5.4h。术中出血150～1900ml,平均750ml,随访时间2～27个月,平均11个月。经手术治疗优13例,良9例,可2例,优良率91.67%。术后1例耻骨联合后及右侧髂窝感染,经清创引流恢复,其余效果均满意,下地行走最长时间5个月,最短3周。无皮肤坏死、神经损伤、脂肪栓塞、下肢静脉血栓形成、骨不愈合等并发症。结论根据骨折分型和患者的具体情况,选择适当的手术入路和内固定,能减少卧床时间,有利于功能锻炼,从而取得良好的疗效。

Objective To discuss the clinical effect of surgery treatment of Unstable Pelvis fractureo Methods The review analyzes 24 example not stability mode pelvis bone fracture patient＇ s clinical material which my courtyard admitted in recent years. Results 24 example not stability mode pelvis bone fracture patient, surgery time 1 -8 h, average 5.4 h. In the technique bleeds 150 - 1900 ml, average 750 ml, the revisit time 2 -27 months, the average 11 months. Treats the superior 13 cases after the surgery, good 9 examples, but 2 examples, fine rate 91.67%. After technique latter 1 example symphysis pubis, and the right side qia nest infection, after creates the drainage to restore clear, other effects satisfy, next walks longest time for 5 months, shortest 3 weeks. Non-skin necrosis, the neurotrosis, the fat embolism, the lower limb phlebothrombosis, the bone do not heal and so on complications. Conclusion according to the bone breakdown and patient＇ s special details, chooses the suitable operative approach and in the fixed instrument, can reduce the bed time, is advantageous in the function exercise, thus obtains the good curative effect.