期刊文献+

内、外固定与保守方法治疗不稳定型骨盆骨折:骨痂生长及骨折愈合率比较 被引量:23

Internal fixation, external fixation and conservative treatment for unstable pelvic fractures: callus growth and fracture healing rate
下载PDF
导出
摘要 背景:对于骨盆骨折的治疗临床上有很多方法,其中以保守治疗、内固定治疗和外固定治疗3种方法为主。传统的保守治疗常因骨折的不良复位而造成相关并发症。固定治疗对于一般不稳定型骨折有着良好的修复效果,但对于骨盆骨折报道甚少。目的:观察内固定治疗对不稳定型骨盆骨折的修复效果,并与外固定及保守治疗进行对比。方法:将深圳市龙华新区人民医院2008年1月至2014年6月收治的126例不稳定型骨盆骨折患者,根据修复方式分为保守治疗组、外固定组和内固定组,每组42例。治疗后行X射线片检查,以Lindahl影像学标准为依据,对骨折复位的质量进行评估。治疗后定期随访,依据Majeed标准对患者肢体功能恢复情况进行评价。末次随访时评估患者修复效果、骨折愈合优良率及骨痂生长优良率。结果与结论:末次随访时,内固定组患者的治疗总有效率为81%,保守治疗组为69%,外固定组为71%,内固定组明显优于其余两组,差异有显著性意义(P<0.05);内固定组骨折复位Lindahl优良率及肢体功能恢复Majeed评分明显高于其余两组,差异有显著性意义(P<0.05)。提示采用内固定方法修复不稳定型骨盆骨折,功能恢复效果以及治疗有效率优于保守治疗和外固定治疗。因此,对于不稳定型骨盆骨折患者,内固定治疗方法更加适合。 BACKGROUND:There are many methods in the clinic to treat pelvic fractures, mainly conservative treatment, internal fixation and external fixation. Conservative treatment often causes complications due to poor reduction after fractures. Fixation has good effects on repair of unstable fractures, but fixation is seldom used for pelvic fractures.OBJECTIVE:To observe the effects of internal fixation on unstable pelvic fractures, and compare with conservative treatment and external fixation. METHODS:126 cases of unstable pelvic fractures from Longhua District People’s Hospital of Shenzhen City from January 2008 to June 2014 were divided into three groups:conservative treatment group, external fixation group and internal fixation group (n=42). After treatment, patients received X-ray examination. Lindahl imaging criteria were used as evidence. The quality of fracture reduction was evaluated. Patients were regularly fol owed up after treatment. The recovery of limb function was evaluated according to Majeed standard. Repair effects, the excel ent and good rates of fracture healing and cal us growth were evaluated in the last fol ow-up. RESULTS AND CONCLUSION:During the last fol ow-up, the total efficiency was 81%in the internal fixation group, 69%in the conservative treatment group, and 71%in the external fixation group, and results were&amp;nbsp;significantly better in the internal fixation group than in the other two groups (P〈0.05). The Lindahl and Majeed scores were significantly higher in the internal fixation group than in the other two groups (P〈0.05). These results suggest that internal fixation for unstable pelvic fracture obtained better recovery effects and efficiency than conservative treatment and external fixation. Thus, the internal fixation is more suitable for patients with unstable pelvic fractures.
出处 《中国组织工程研究》 CAS 北大核心 2015年第35期5646-5651,共6页 Chinese Journal of Tissue Engineering Research
关键词 植入物 骨植入物 不稳定型骨盆骨折 保守治疗 内固定 外固定 疗效分析 骨痂生长 骨折愈合 肢体功能 Pelvis Fractures,Bone Internal Fixators External Fixators Fol ow-Up Studies
  • 相关文献

参考文献13

二级参考文献119

共引文献133

同被引文献184

引证文献23

二级引证文献98

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部