不稳定骨盆骨折的手术治疗

The Surgical Treatment of Unstable Pelvic Fractures

目的 探讨不稳定骨盆骨折手术治疗的临床疗效.方法 回顾分析我院2004年6月~2012年6月行手术治疗的65例不稳定骨盆骨折患者.结果 62例患者获得随访,随访时间8~25月,平均16.3月,所有患者均无严重并发症.根据影像学Matta法和功能恢复情况评价,优48例,良7例,可4例,差3例,优良率88.7%.结论 不稳定骨盆骨折并发血流动力学不稳的患者宜尽早使用外固定架固定骨盆,病情平稳后根据情况选择内固定治疗.早期及时的复苏、序贯合理的固定技术以及循序渐进的个体化康复治疗是不稳定骨盆骨折治疗的关键之一.

Objective To evaluate the surgical treatment outcome of unstable pelvic fractures retrospectively. Methods The outcomes of 65 unstable pelvic fractures treated from June 2004 to June 2012 in our hospital were reviewed. Results 62 cases were followed up 8 to 25 months, the average was 16.3 months. There were no serious complications in all cases with fractures. According to the Matta scores and function after fractures got healed, the outcomes reached to be excellent in 48, good in 7, fair in 4 and bad in 3 cases, with good and excellent results of 88. 7%. Conclusion For saving lives, unstable pelvic fractures in the hemodynamically unstable patients should be treated by external fixator to stable pelvis early. After the condition is stablized, we should choose a reasonable internal fixation. The timely recovery, sequential reasonable fixation therapy and individual rehabilitate therapy is a key method for the treatment of unstable pelvic fractures.