术前塑形重建钢板治疗骨盆骨折的临床观察

Clinical observation on the treatment of pelvic fracture with preoperative plastic reconstruction plate

目的:探讨术前塑形骨盆重建钢板治疗骨盆骨折的效果。方法:收治骨盆骨折患者30例。A组在术前根据骨折部位在模型上将重建钢板塑形,B组在术中根据骨折复位情况再塑形。结果:A组患者手术时间、切口长度、术中术后出血量、术后引流量、拔出引流管时间等与B组比较,差异有统计学意义(P<0.05)。结论:术前塑形骨盆重建钢板治疗骨盆骨折比术中塑形骨盆重建钢板治疗骨盆骨折具有出血少、手术时间短的优点,能够减轻患者痛苦。

Objective:To investigate the effect of preoperative plastic pelvic reconstruction plate in the treatment of pelvic fracture.Methods:30 cases with pelvic fracture were selected.In group A,the reconstruction plate was formed on the basis of the fracture site before the operation,and the group B was remolded in the course of the fracture reduction.Results:There were significant differences in the operative time,incision length,intraoperative and postoperative bleeding volume,postoperative drainage volume and drainage time between the group A and the group B(P<0.05).Conclusion:Preoperative pelvic reconstruction with pelvic reconstruction has advantages of less bleeding and shorter operative time than pelvic reconstruction plate during operation,and it also can relieve patients'pain.