髂骨移植并发症的相关研究

[目的]探讨髂骨移植的并发症的原因及预防措施.[方法]回顾研究1990年～2005年10月828例髂骨移植患者,对出现的并发症进行统计分析.[结果]浅感染45例;深部感染10例;局部血肿60例;深部血肿4例;神经损伤30例;血管损伤3例,均发生在髂骨后部取骨时,为臀上动脉断裂;髂骨骨折2例,腹壁疝1例.[结论]取骨位置及操作不当是引起并发症的主要原因,了解髂骨解剖特点,正确选择取骨位置、微创操作是预防并发症的主要措施.

Sudy about complications of iliac crest bone graft harvesting

[ Objective] To discuss the causes and preventive measures about complications of iliac crest bone graft harvesting. [ Method] From Jan. 1990 to Jan. 2005, 828 patients with iliac crest bone graft harvesting were reviewed retrospectively, their complications were taken statistical analysis. [ Result] Fifteen patients were found with superficial infections; 10 deep infections; 20 patients with superficial seromas and 10 patients with minor hematomas; 4 deep hematomas ; 30 nerve injuries ; 3 vascular injuries, all 3 cases occurred secondary to harvesting of posterior iliac crest bone grafts; 1 donor defect hernias, and 2 iliac wing fractures. [ Conclusion] The causes of complications are incorrectly harvesting and rude operation. The preventive measures are that operators should know the anatomic characteristic of ilium and microinvasion.