桥接组合式内固定系统治疗18例不稳定型骨盆骨折的临床体会

Clinical experience of 18 cases of unstable pelvic fracture treated with bridge combined internal fixation system

目的研究运用桥接组合式内固定系统治疗不稳定型骨盆骨折的临床效果。方法18例不稳定型骨盆骨折患者作为研究对象,均运用桥接组合式内固定系统治疗,观察手术时间、术中出血量及术后恢复情况。结果18例患者的术中出血量为200~500 ml,平均术中出血量为380.0 ml;手术时间为60~150 min,平均手术时间为110.0 min;随访时间为5~12个月。患者伤口均一期愈合,平均骨折愈合时间为4.2个月,无切口感染或者深静脉血栓形成等相关并发症。全部患者骨折均愈合良好,肢体功能优9例,良7例,可1例,差1例,优良率为88.89%,平均肢体功能评分为82.5分。结论桥接组合式内固定系统治疗不稳定型骨盆骨折具有固定效果可靠、操作灵活及并发症少等优点,值得临床推广运用。

Objective To study the clinical effect of bridge combined internal fixation system in the treatment of unstable pelvic fracture.Methods There were 18 patients with unstable pelvic fracture as study subjects,and all were treated by bridge combined internal fixation system.The surgery time,amount of intraoperative hemorrhage and postoperative recovery were observed.Results The amount of intraoperative hemorrhage of 18 patients was 200-500 ml,with average amount of intraoperative hemorrhage of 380.0 ml,the surgery time was 60-150 min,with average surgery time of 110.0 min,the follow-up time was 5-12 months.All the wounds healed in stageⅠ,with an average fracture healing time of 4.2 months.There were no complications such as incision infection or deep vein thrombosis.All the fractures healed well.The limb function was excellent in 9 cases,good in 7 cases,fair in 1 case and poor in 1 case.The excellent-good rate was 88.89%,and the average limb function score was 82.5 points.Conclusion Bridge combined internal fixation system for unstable pelvic fractures has the advantages of reliable fixation,flexible operation and few complications,and is worthy of clinical application.