耻骨联合分离用重建钢板治疗疗效分析

Clinical Efficacy Investigation of Pubic Symphysis Separation with Reconstruction Plate

目的探讨应用重建钢板治疗耻骨联合分离的临床疗效。方法选择2006年2月至2011年2月来蕉岭县人民医院行耻骨联合分离术,具有使用重建钢板治疗的适应证的患者30例,对他们的临床资料进行回顾性的分析。术前术后采用ADL评分量表对患者的生活能力进行评价,并比较术前术后的ADL评分值变化以评断治疗效果。结果对30例患者手术治疗后进行随访12～24个月,平均18个月。随访结果如下:术前术后ADL评分比较发现,40分以下的得分率术后较术前有减少(χ2=8.36,P<0.05),40～100分的得分率术后较术前有显著增加(χ2=26.72,P<0.01)。30例患者术后X线片检查证实耻骨联合处分离状况得到改善,恢复正常的间隙。所有患者未出现明显的疼痛等不适,未出现跛行。患者基本恢复正常的工作和生活状态,生活质量未受到明显影响。术后并发症情况发生率较低。结论应用重建钢板方法治疗耻骨联合分离的疗效可靠,是一种安全、经济、有效的治疗方法,值得在临床推广。

Objective To investigate the clinical significance of applying pubic symphysis separation with reconstruction plate.Methods Retrospect 30 cases of patients definitely diagnosed as fit for pubic symphysis separation with reconstruction plate in People′s Hospital of Jiaoling.The ADL score of pre-surgery and post-surgery were analyzed to evaluate efficacy.Results All of the observers were followed averagely in 18 months.The records show that post-surgery was obviously decreased compared with pre-surgery in the ADL score below 40,while post-surgery was significantly improved compared with pre-surgery in the ADL score among 40 to 100.Almost all the patients have better life quality and little complication diseases after surgery.Conclusion The efficacy of pubic symphysis separation with reconstruction plate is steady and obvious,so that it can be recognized as a safe,economical,efficient method worthy of popularize.