新型髂骨骨折分型及临床应用

A New Classification Method and Its Clinical Application for Iliac Fracture

目的探讨新型髂骨骨折的分型及其临床应用。方法在以往诊治髂骨骨折的认识基础上,参考国内外相关资料,根据髂骨骨折后骨折部位、损伤机制、稳定情况等不同,将髂骨骨折分为Ⅰ～Ⅴ型,其中Ⅰ型:髂骨边缘骨折;Ⅱ型:髂骨翼简单骨折;Ⅲ型:髂骨翼粉碎骨折;Ⅳ型:累及髋臼前柱髂骨骨折;Ⅴ型:髂骨后部骨折。根据分型标准对71例髂骨骨折进行分型,选择合理的治疗方案,随访观察治疗效果并进行疗效评定。结果Ⅰ型5例,Ⅱ型22例,Ⅲ型7例,Ⅳ型8例,Ⅴ型29例。68例患者得到随访,随访时间10～30个月,平均18个月。骨折平均愈合时间13周,61例骨折对位良好,均一期愈合,57例恢复原工作。根据Majeed功能评定标准,优45例,良14例,可5例,差4例,优良率86.77%。结论新型髂骨骨折分型标准具有简单实用的优点,对于规范髂骨骨折命名、选择适宜治疗方式均有着重要的实践指导意义。

Objective To explore a new classification method and its clinical application for iliac fracture. Methods Based on the experience of diagnosis and treatment of iliac fracture and references from. both domestic and interna tional literature reviews ,the iliac fracture was divided into I to V type according to the site of fracture ,damage mecha nism and pelvic stability. Seventyone patients with iliac fracture were classified according to the classification criteria and the reasonable treatment method was selected. The therapeutic results were observed following up and the clinical outcomes were assessed. Results There were type I in 5 cases,type H in 22 cases,type[ in 7 cases,type 1V in 8 cas es,type V in 29 cases. Totally,sixtyeight patients were followed up for 10 to 30 months,with an average of 18 months, the average time of fracture union was 13 weeks. The displacement of injured pelvis was satisfactorily correct ed in 61 patients and the fractures were healed at one stage ,and 57 cases had returned to their original works. Accord ing to Majeed standards ,the excellent result was achieved in 45 patients ,good in 14,fair in 5 and poor in 4,the excel lent and good rate was 86.77%. Conclusion The classification criterion of iliac fracture is simple and practical,and can be used as a name criterion for iliac fractures and an important guide for selection of the treatment method for iliac fracture.