微创经皮骨盆前环内固定术治疗不稳定性骨盆前环损伤患者的效果

目的:观察微创经皮骨盆前环内固定术治疗不稳定性骨盆前环损伤患者的效果。方法:选取77例不稳定性骨盆前环损伤患者作为研究对象,按随机数字表法将其分为对照组38例与观察组39例。对照组采用开放性骨盆前环外固定术治疗,观察组采用微创经皮骨盆前环内固定术治疗,比较两组疾病相关指标水平、并发症发生率和治疗效果。结果:观察组手术时间长于对照组,骨痂形成时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);观察组优良率为97.44%(38/39),明显高于对照组的84.21%(32/39),差异有统计学意义(P<0.05)。结论:微创经皮骨盆前环内固定术治疗不稳定性骨盆前环损伤患者可提高优良率,缩短骨痂形成时间,以及减少术中出血量的效果优于开放性骨盆前环外固定术治疗,但手术时间会延长。

Effects of minimally invasive percutaneous anterior pelvic ring internal fixation in treatment of patients with unstable anterior pelvic ring injuries

Objective:To analyze effects of minimally invasive percutaneous anterior pelvic ring internal fixation in treatment of patients with unstable anterior pelvic ring injuries.Methods:77 patients with unstable anterior pelvic ring injuries were selected as the research objects,and were divided into control group(38 cases)and observation group(39 cases)according to the random number table method.The control group was treated with open anterior pelvic ring external fixation,while the observation group was treated with minimally invasive percutaneous anterior pelvic ring internal fixation.The levels of disease-related indicators,complication rate and treatment effects were compared between the two groups.Results:The operation time of the observation group was longer than that of the control group;the callus formation time was shorter than that of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).The excellent and good rate of treatment in the observation group was 97.44%(38/39),which was significantly higher than the control group of 84.21%(32/39),and the difference was statistically significant(P<0.05).Conclusions:Minimally invasive percutaneous anterior pelvic ring internal fixation in the treatment of the patients with unstable anterior pelvic ring injuries can improve the excellent and good rate of treatment,shorten the callus formation time,and reduce the amount of intraoperative blood loss.Moreover,it is superior to open anterior pelvic ring external fixation,but the operation time is longer.