外固定架治疗骨盆骨折76例报告

A Report of 76 Cases of Pelvic Fractures Treated with External Fixator

目的探讨外固定支架在骨盆骨折中的应用方法和治疗效果。方法回顾性分析我科2008至2011年收治的骨盆骨折病例76例,按照病人体形胖瘦采用三联支架或二联支架治疗骨盆前环骨折,根据Majeed骨盆骨折后功能评价系统进行评分。结果随访6～31月,Majeed评分结果:优46例,良21例,中5例,差4例,优良率88.1%。结论骨盆外固定支架可恢复骨盆连续性和稳定性,减少出血,从而有利于稳定血流动力学,既可作为急救复苏、缓解出血的临时措施,亦可作为终极治疗手段持续固定至骨折愈合。

Objective To explore the application methods and curative effect of external fixator in the treatment of pelvic fractures. Methods 76 cases of pelvic fractures in our department from 2008 to 2011 were analyzed retrospectively. Triple stents or double stents were used in the treatment of anterior pelvic ring fractures according to patients＇ body weight, and graded by Majeed assessment system of function after major pelvic injuries. Results All the patietns were followed up for 6 to 31 months. Majeed grading outcomes were excellent in 46 cases, good in 21 cases, general in 5 cases, poor in 4 cases and the excellent and good rate was 88.1% （67/76）. Conclusions Pelvic external fixation can restore the pelvic continuity and stability, reduce bleeding to stabilize the hemodynamics, which can be used as the temporary measure for emergency resuscitation and bleeding remission, as well as the ultimate method for persistent fixation to fracture healing in patients with pelvic fractures.