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不稳定型骨盆骨折治疗中损伤控制骨科的应用
引用本文:胡海波,禹宝庆,刘辉. 不稳定型骨盆骨折治疗中损伤控制骨科的应用[J]. 实用骨科杂志, 2008, 14(10): 584-586
作者姓名:胡海波  禹宝庆  刘辉
作者单位:第二军医大学附属上海长海医院骨科,上海,200433
摘    要:
目的探讨损伤控制骨科(damage control orthopaedics,DCO)在不稳定型骨盆骨折治疗中应用的可行性和效果。方法回顾性分析2004年6月至2007年6月应用损伤控制方法救治的32例不稳定骨盆骨折临床资料。结果运用损伤控制方法成功救治30例,死亡2例,发生并发症5例。28例得到随访,平均随访23个月。复位按照Matta评定标准优良率为88.6%。结论应用DCO的方法处理可以降低不稳定型骨盆骨折患者的死亡率,减少并发症,提高救治成功率。

关 键 词:骨盆  不稳定骨折  损伤控制骨科

Clinical Study on Damage Control Surgery in Unstable Pelvic Fracture Patients
HU Hai-bo,YU Bao-qing,LIU Hui. Clinical Study on Damage Control Surgery in Unstable Pelvic Fracture Patients[J]. Journal of Practical Orthopedics, 2008, 14(10): 584-586
Authors:HU Hai-bo  YU Bao-qing  LIU Hui
Affiliation:(Department of Orthopaedics ,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433 ,China)
Abstract:
Objective To investigate the therapeutic effect of damage control surgery for unstable pelvic fracture. Methods The clinical data of 32 patients with unstable pelvic fracture admitted from June 2004 to June 2007 were analyzed retrospectively. Results The damage control orthopaedics was successfully performed in 30(93.75%) of 32 patients. 28 patients were followed-up and the average times were 23 months. 88.6%of the reductions were excellent or good according to Matta's criteria. Conclusion The application of DCO could reduce mortality rate and incidence of complications for unstable pelvic fracture patients.
Keywords:pelvic  unstable fracture  damage control orthopaedics
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