经皮闭合内固定治疗骨盆环损伤

目的对骨盆环损伤闭合内固定术的临床疗效进行评价。方法回顾性分析58例骨盆环损伤患者的临床资料。其中女24例,男34例,年龄18—62岁,平均年龄36岁。全部患者均采用骶髂关节螺钉、耻骨螺钉、耻骨联合螺钉及髂骨后部螺钉等多种形式的闭合内固定。结果58例中满意复位者52例,6例复位不满意;57例骨折愈合,1例骨不连接;56例无血管神经损伤,2例有S1神经损伤,遗留下肢及马鞍麻木。结论经皮闭合固定骨盆环损伤小、出血少、固定效果较好,是一种有前景的手术方式,但对操作者要求高。术前大重量骨牵引有利于术中复位。

Percutaneous fixation of pelvic ring disruptions

Objective To introduce the operation indication,operation fashion,operation time,mainipulation point,and treatment effect of pelvic ring disruptions with percutaneous fixation.Methods Fifty-eight patients with pelvic ring disruptions were treated with sacroiliac screws,pubic ramus screws or pubic tubercle screws and iliac wing screws,and the effects was evaluated.Results Among the 58 patients,the result of reductions in 52 cases was satisfatied, 6 cases was dissatisfied;fracture point in 57 cases was helt up,1 case disconnect;vessel and nerve was not injured in 56 cases,S_1 nerve root was injured in 2 case,bequeathing anaesthesia of lower limbs and saddle area.Conclusions The technique with percutaneous fixations is minitraumatic and reliable to fix the pelvic ring disruptions with little bleeding.These percutaneous techniques have a good outlook.Bone tractions with big weight before operation make for reductions in operation.