两种手术方法在不稳定骨盆骨折患者急救中的应用及预后评价

Emergency treatment and prognostic evaluation about external fixator combined with posterior plate technique in patients with unstable pelvic fractures

①目的探讨与分析外固定支架在不稳定骨盆骨折患者急救中的应用及预后。②方法选取我院2012年12月-2015年12月收治的不稳定盆骨骨折患者104例，采取随机数字表法分为对照组与观察组，各52例。对照组仅给予外固定支架技术治疗，观察组在此基础上加用后路钢板技术治疗，对比两组患者手术时间、术中出血量、支架保留时间、骨盆愈合时间、Majeed评分及MATTA评分。③结果观察组较对照组相比手术时间缩短、出血量减少、支架保留时间缩短、骨折愈合时间缩短，差异有统计学意义（P〈0．05），钉道感染率、继发性移位率、切口感染率、病死率均明显降低，差异有统计学意义（P〈0．05）。观察组Majeed评分优良率为90．38％，MATTA评分优良率为92．31％，对照组分别为69．23％、71．5％，两组比较差异均有统计学意义（P〈0．05）。④结论外固定支架结合后路钢板固定技术治疗不稳定型骨折的临床疗效显著，具有手术时间较短、出血量较少、外固定支架保留时间较短、愈合时间较短、治愈率较高等优势。

Objective To explore and analyze the emergency treatment and prognosis about external fixation support in patients with unstable pelvic fractures.Methods A total of 104 patients in our hospital from December 2012 to December 2015 were treated with unstable pelvic fractures, which were divided into control group and observation group by random number table method, 52 cases in each group.The control group only accepted external fixation support technology treatment, observation group based on the combined with posterior plate technology treatment, compared the operation time,intraoperative blood loss,retention time,pelvic healing time, Majeed score and MATTA score in both two groups.Results The operation time was shorten,blood loss was reduced,stent retention time shortened, shorten fracture healing time in observation group than the control group, the difference had statistical significance（P 〈0.05）. The nail infection rates, secondary migration rate, incision infection rate and mortality in observation group were significantly reduced than the control group（P〈0.05）. Control group Majeed score was 69.23 %, observation group Majeed score was 90.38%, the difference had statistical significance （P 〈0.05）. Control group MATTA score was 71.15%, observation group MATTA score was 92.31%, the difference had statistical significance（P〈0.05）.Conclusion The external fixator combined with posterior plate type technique in the treatment of unstable fractures of the clinical curative effect is obviously, with shorter operation time,less blood loss,stent retention time is shorter,healing time is shorter, the advantages of high cure rate.