外固定支架下经皮有限内固定加肠造瘘术治疗开放性骨盆骨折伴盆底撕裂伤

目的 探讨开放性骨盆骨折伴盆底撕裂伤的治疗方法,介绍采用外固定支架下经皮有限内固定加肠造瘘术治疗开放性骨盆骨折伴盆底撕裂伤的方法、要点.方法 对9例开放性骨盆骨折伴盆底撕裂伤患者行外固定支架下有限经皮内固定加肠造瘘术,总结治疗经验.结果 9例患者骨盆骨折均满意愈合,盆底撕裂伤9例中7例未发生感染,2例轻度感染经治疗后痊愈,半年后复查患者创面愈合良好,功能良好.结论 采用外固定支架下有限经皮内固定加肠造瘘术治疗开放性骨折骨盆骨折伴盆底撕裂伤可获得较满意的效果.

Abstract：

Objective To introduce the methods and key points for the external fixation combinel with limited percutaneous internal fixation plus colostomy in the treatment of open pelvic fracture concomitant with perineal laceration.Methods Nine patients with open pelvic fractures concomitant with perineallaceration were treated by external fixator combined with limited percutaneous internal fixer plus colostomy. Data including injury details, management and outcomes were collected for comparison.Results All the patients survived and attained bony union except for two patients with local infection that was healed several days after repeated wound debridement and use of wide spectrum antibiotics. All the patients had good extremity function at the latest follow-up. Conclusion External fixation combined with limited percutaneous internal fixation plus colostomy is a reliable, safe and less invasive procedure for the treatment of open pelvic fractures concomitant with perineal open wound.

Treatment of open pelvic fracture concomitant with perineal laceration using external fixation combined with limited percutaneous internal fixation plus colostomy

Objective To introduce the methods and key points for the external fixation combinel with limited percutaneous internal fixation plus colostomy in the treatment of open pelvic fracture concomitant with perineal laceration.Methods Nine patients with open pelvic fractures concomitant with perineallaceration were treated by external fixator combined with limited percutaneous internal fixer plus colostomy. Data including injury details, management and outcomes were collected for comparison.Results All the patients survived and attained bony union except for two patients with local infection that was healed several days after repeated wound debridement and use of wide spectrum antibiotics. All the patients had good extremity function at the latest follow-up. Conclusion External fixation combined with limited percutaneous internal fixation plus colostomy is a reliable, safe and less invasive procedure for the treatment of open pelvic fractures concomitant with perineal open wound.