微创椎弓根钉棒系统内固定术与切开复位内固定术治疗Tile C2~C3型骨盆骨折患者的效果比较

Comparison of effects of minimally invasive pedicle screw rod system internal fixation and open reduction and internal fixation in treatment of patients with Tile C2-C3 pelvic fractures

目的:比较微创椎弓根钉棒系统内固定术与切开复位内固定术治疗Tile C2~C3型骨盆骨折患者的效果。方法:回顾性分析2021年1月至2023年7月陇西县中医医院收治的82例骨盆骨折患者的临床资料,根据手术方式不同将其分为对照组(n=39)与研究组(n=43)。对照组采用切开复位内固定术治疗,研究组采用微创椎弓根钉棒系统内固定术治疗。比较两组手术相关指标(术中出血量、手术时间、切口长度、住院时间、骨折愈合时间)水平、术后骨盆骨折复位效果、骨盆功能评分和并发症发生率。结果:研究组术中出血量少于对照组,手术时间、切口长度、住院时间及骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);研究组术后骨盆骨折复位总有效率为93.02%(40/43),高于对照组的74.36%(29/39),差异有统计学意义(P<0.05);术后6、9周,研究组Majeed骨盆功能评分均高于对照组,差异有统计学意义(P<0.05);研究组术后并发症发生率为2.33%,低于对照组的17.95%,差异有统计学意义(P<0.05)。结论:微创椎弓根钉棒系统内固定术治疗Tile C2~C3型骨盆骨折患者可提高术后骨盆骨折复位总有效率和骨盆功能,以及改善手术相关指标水平和降低并发症发生率的效果优于切开复位内固定术治疗。

Objective:To compare effects of minimally invasive pedicle screw rod system internal fixation and open reduction and internal fixation in treatment of patients with Tile C2-C3 pelvic fractures.Methods:The clinical data of 82 patients with pelvic fractures admitted to Longxi County Hospital of Traditional Chinese Medicine from January 2021 to July 2023 were retrospectively analyzed.According to different surgical methods,they were divided into control group(n=39)and study group(n=43).The control group was treated with open reduction and internal fixation,while the study group was treated with minimally invasive pedicle screw rod system internal fixation.The operation related indexes(intraoperative blood loss,operation time,incision length,hospitalization time,fracture healing time)levels,the postoperative pelvic fracture reduction effect,the pelvic function score,and the incidence of complications were compared between the two groups.Results:The intraoperative blood loss in the study group was less than that in the control group,the operation time,incision length,hospitalization time and fracture healing time were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of pelvic fracture reduction in the study group was 93.02%(40/43),which was higher than 74.36%(29/39)in the control group,and the difference was statistically significant(P<0.05).At 6 and 9 weeks after the surgery,the Majeed pelvic function score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,the incidence of postoperative complications in the study group was 2.33%,which was lower than 17.95%in the control group,the difference was statistically significant(P<0.05).Conclusions:Minimally invasive pedicle screw rod system internal fixation for the patients with Tile C2-C3 pelvic fractures can improve the total effective rate of postoperative pelvic fracture reduction and the pelvic function,and reduce the levels of surgical related indexes and the incidence of complications.Moreover,it is superior to open reduction and internal fixation.