单臂外固定器在儿童骨盆骨折并发多损伤治疗中的应用

Application of unilateral external fixer to pelvic fractures with multiple injuries in children

目的 探讨单臂外固定器在儿童骨盆骨折并发多损伤治疗中的应用价值。方法 自1994年始收治儿童骨盆骨折并发多损伤患儿 8例 ,其中男 6例 ,女 2例 ,平均年龄 8.5岁 (6～ 14岁 )。致伤原因 :车祸 5例 ,挤压伤 2例 ,坠落伤 1例。 8例骨盆骨折均为不稳定型 ,均有耻骨联合分离 ,所有病例均在伤后 2 4h内生命体征平稳后手术。对儿童骨盆骨折并发多损伤的患儿我们采用单臂外固定器迅速固定骨盆 ,并对其进行随访和疗效分析。结果 8例患儿骨盆骨折均愈合 ,经随访无跛行及骨盆畸形。结论 单臂外固定器可迅速地完成骨盆骨折的固定 ,有效控制骨折端出血和疼痛 ,保持骨盆环完整和稳定。对伤员全身状况及严重创伤的抢救无不良影响 ,有利于患儿救治。单臂外固定器治疗儿童骨盆骨折是一种简单、安全、有效。

Objective To discuss the value of unilateral external fixation to treat pelvic fractures with multiple injuries in children. Methods Since 1994, 8 children (6 boys and 2 girls, age range 6 to 14 years, mean 8.5 years )with serious multiple injuries and pelvic fracture with separation of symphysis pubis were admitted. The causes were traffic accident in 5 cases, crush trauma in 2, and injury by falling in 1. All patients were treated within 24 hours after injury by unilateral external fixer. Results The broken bones were all healed without limp and deformity formation. Conclusions Unilateral external fixer is a simple, safe, effective and mini-invasive therapeutic method for pelvic fractures in children.