经皮骶髂螺钉与骶髂关节前方钢板固定治疗不稳定性骨盆骨折的效果研究

目的比较不稳定性骨盆骨折患者分别采用经皮骶髂螺钉内固定及骶髂关节前方钢板固定治疗后的临床效果。方法本次研究中的110例不稳定性骨盆骨折患者均为2010年9月~2013年6月来我院就诊的病例,将其按照不同的治疗方式分为观察组及对照组各55例,观察组采用经皮骶髂螺钉内固定治疗,对照组采用骶髂关节前方钢板固定治疗,比较两组围术期各项观察指标、术后并发症发生情况、患者的复位效果(术后Matta评分优良率)、患者的疼痛、骨折愈合时间及功能性恢复状况(术后Majeed功能评分总优良率)。结果观察组的术中出血量与对照组比较明显较少,伤口总长度较小,手术时间、术后发热时间及住院时间均明显较短,并发症发生率明显较低,术后Matta评分及Majeed功能评分总优良率均明显较高,以上各项指标在两组间均具有显著性差异(P<0.05)。结论不稳定性骨盆骨折患者采用经皮骶髂螺钉内固定治疗安全有效,可以作为一种有效的微创手术方法在临床推广应用。

The effect of unstable pelvic fractures treated with percutaneous sacroiliac screws and sacroiliac joints in front of the steel plate fixation

Objective To compare the effect of unstable pelvic fractures treated with percutaneous sacroiliac screws and sacroiliac joints in front of the steel plate fixation. Methods A total of 110 patients with unstable pelvic fractures in the study were selected from September 2010 to June 2013 in our hospital, they were divided into observation group and control group according to the different treatment methods, 55 cases in each groups. The observation group was treated with percutaneous sacroiliac screws internal fixation, while the control group was treated with the sacroiliac joint in front of the plate fixation treatment, two groups of perioperative observation index, postoperative complications, the patient＇s restoration effect the rate of good postoperative Matta（score）, pain, fracture healing time and functional recovery in patients with conditions （postopera＇tive Majeed function score total crop） were compared. Results Blood loss in the observation group was more less than that of the control group, the length of the wound was shorter, the operative time, postoperative fever time and hospital stay were significantly shorter, and incidence of complications was significantly lower, postoperative Matta score and Majeed functional score always fine rate were significantly high- er, the above indexes between the two groups had significant difference （P 〈 0.05）. Conclusion Unstable pelvic frac- tures treated by percutaneous sacroiliac screw internal fixation is safe and effective, and can serve as an effective method of minimally invasive surgery in clinical application.