骨盆骨折术后并发症的预防

目的] 探讨骨盆骨折术后并发症的预防.方法] 回顾性分析2005年2月至2009年12月本院收治的53例骨盆骨折病例资料.患者在伤后5～10 d内,按Tile分型,选择相应手术入路,用重建钢板固定,术后功能锻炼.应用Majeed功能评价标准进行功能评定,并对患者术后并发症情况回顾分析.结果] 除1例死亡外,余52...

Prevention of Postoperative Complications of Pelvic Fracture

Objective] To explore the prevention of postoperative complications of pelvic fracture. Methods] The clinical date of 53 patients with pelvic fracture in our hospital from Feb. 2005.2 to Dec. 2009 were analyzed retrospectively. According to Tile classification, the appropriate operation approach was selected for patients within 5-10 days after injury. And the patients were treated with pelvic reconstructed plate fixation. Functional exercise was performed after operation. Majeed standard was used for the function evaluation. Postoperative complications of patients were reviewed. Results] Except on case died, other 52 patients were followed up for an average of 18 months（ranged form 5 to 48 months）. The 37 cases achieved excellent and good results and 9 cases achieved fair results, and the excellent and good rate was 71%. Postoperative complications occurred in 6 cases. Among the 6 cases, one ease had wound infection, and 2 cases with acetabulum fracture had avaseular necrosis of femoral head, and one case had lameness and pain caused by malreduction, and 2 cases had deep venous thrombosis of lower limbs and got better after treatment. One case complicated with hypertension, coronary heart disease and gastric ulcer died of stress ulcer and massive hemorrhage of gastrointestinal tract. No severe ectopic ossification or traumatic arthritis were found after operation. Conclusion] The reconstructed plate fixation for the treatment of pelvic fracture has obvious advantages of reducing mortality and complications in early periods. However it is complicated to safely fix screw. Careful therapy by practiced orthopedist and many clinical anatomy researches can reduce postoperative complications.