重建钢板内固定联合外固定术治疗不稳定性骨盆骨折的应用效果

Application efficacy of reconstruction plate internal fixation combined with external fixation for unstable pelvic fractures

目的探讨重建钢板内固定联合外固定术治疗不稳定性骨盆骨折的应用效果。方法将83例不稳定性骨盆骨折患者随机分为内固定组38例及联合固定组45例。内固定组采用重建钢板内固定治疗,联合固定组采用重建钢板内固定联合外固定术治疗。比较两组Majeed评分及Matta评分优良率、术中输血量、骨折愈合时间、术后卧床时间、术后疼痛视觉模拟量表(VAS)评分及术后并发症发生情况。结果联合固定组术后Majeed评分优良率和Matta评分优良率均高于内固定组,术中输血量、术后卧床时间和骨折愈合时间均少于或短于内固定组,术后VAS评分和术后并发症发生率均低于内固定组(均P <0. 05)。结论重建钢板内固定联合外固定术治疗不稳定性骨盆骨折,可减少术中输血量,缩短患者术后住院时间,促进骨盆功能恢复,减轻疼痛,减少术后并发症发生。

Objective To explore the application efficacy of reconstruction plate internal fixation combined with external fixation for unstable pelvic fractures.Methods Eighty-three patients with unstable pelvic fractures were randomly divided into internal fixation group(n=38)and combined fixation group(n=45).The internal fixation group was treated with reconstruction plate internal fixation,and the combined fixation group was treated with reconstruction plate internal fixation and external fixation.The excellent and good rates based on the Majeed score and Matta score were compared between the two groups,and the amount of intraoperative blood transfusion,fracture healing time,postoperative bed rest time,Visual Analogue Scale(VAS)score for postoperative pain,and incidence of postoperative complications were compared as well.Results The postoperative excellent and good rates based on the Majeed score and Matta score in the combined fixation group were higher than those in the internal fixation group,the combined fixation group had less amount of blood transfusion,shorter postoperative bed rest time,less fracture healing,lower postoperative VAS score and lower incidence rate of postoperative complications compared with the internal fixation group(all P<0.05).Conclusion For unstable pelvic fractures,reconstructive plate internal fixation combined with external fixation can reduce intraoperative blood transfusion,shorten postoperative hospital stay,promote pelvic function recovery,alleviate pain and decrease the incidence of postoperative complications.