|本期目录/Table of Contents|

[1]侯振海,倪志明,施建国,等.外固定支架在交通伤致不稳定型骨盆骨折中的应用[J].医学研究与战创伤救治(原医学研究生学报),2009,11(06):491-492，501.
　HOU Zhen-hai,NI Zhi-ming,SHI Jian-guo,et al.Treatment of unstable pelvic fracture caused by traffic accident with external fixator[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(06):491-492，501.
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外固定支架在交通伤致不稳定型骨盆骨折中的应用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年06期
页码:
491-492，501
栏目:
出版日期:
2009-11-20

文章信息/Info

Title:
Treatment of unstable pelvic fracture caused by traffic accident with external fixator
文章编号:
1672-271X(2009)06-0491-03
作者:
侯振海; 倪志明; 施建国; 叶 虹; 郑隆宝; 顾江军; 姚 军
解放军第117医院创伤骨科，浙江杭州 310004
Author(s):
HOU Zhen-hai;  NI Zhi-ming;  SHI Jian-guo;  YE Hong;  ZHENG Long-bao;  GU Jiang-jun;  YAO Jun
Department of Orthopaedic Trauma, the 117th Hospital of PLA, Hangzhou 310004, Zhejiang，China
关键词:
骨盆骨折; 不稳定; 交通伤; 外固定支架
Keywords:
Pelvic fracture;  Unstbale;  Traffic accident;  External fixator
分类号:
R683.3
DOI:
-
文献标志码:
A
摘要:
目的 探讨骨盆外固定支架在交通伤致不稳定型骨盆骨折中的应用。方法 回顾性分析我院2002年1月~2005年1月采用骨盆外固定架治疗的37例交通伤致不稳定型骨盆骨折病例，对其疗效进行分析。结果 本组37例，2例死亡，3例未随访，32例获得平均19.4月随访，按Matta疗效评定标准，优良率81.3%。结论 交通伤所致不稳定型骨盆骨折多合并其他脏器损伤，伤情较重，早期采用外固定支架治疗可简单、迅速地完成骨盆骨折的固定，有利于稳定血流动力学，提高救治成功率。
Abstract:
Objective To evaluate the effect of external fixatior for the treatment of unstable pelvic fracture caused by traffic accident. Method 37 cases of unstable pelvic fracture caused by traffic accident who were treated with external fixator at our hospital between Jan, 2002 and Jan, 2005 were retrospectively analyzed. Result Of the 37 cases, 2 resulted in death, 3 missed follow-up. The average follow-up period was 19.4 months for the 32 cases. The total excellent and good rate was 81.3% according to Matta evaluation system. Conclusion The unstable pelvic fracture caused by traffic accident were often combined with other important organ injuries. The external fixator can be used to simply and quickly fix the pelvic fracture and keep the stabilization of the hemodynamics. It is an effective and minimal treatment to improve the treatment success rate and reduce disability.

参考文献/References:

[1]庄颜峰，吕 琦，陈学明，等. 严重骨盆骨折的初期救治体会[J]. 中华创伤骨科杂志，2004,6(5):582-583.
[2]Tile M. Pelvic ring fractures: should they be fixed[J]. J Bone Joint Surg Br, 1988,70(1):1-12.
[3]Matta JM, Tornetta P. Internal fixation of unstable pelvic ring fractures[J]. Clin Orthop Relat Res, 1996,329(8):129-140.
[4]郑志群，杜文革，钱何布，等. 床旁介入性血管栓塞术救治重度骨盆骨折患者[J]. 中华急诊医学杂志，2006,15(3):260-262.
[5]Smith W, Williams A, Agudelo J, et al. Early predictors of mortality in hemodynamically unstable pelvis fractures[J]. J Orthop Trauma, 2007,21(1):31-37.
[6]袁欣华，庞清江，吴乃庆，等. 切开复位内固定治疗骨盆桶柄样Tilt骨折[J]. 中国骨与关节损伤杂志，2007,22(1):4-6.
[7]田 野，付 勤.外固定架阶段加压联合重建钢板治疗陈旧性 Tile B1 型骨盆骨折[J]. 中国修复重建外科杂志，2008,22(3):324-327.
[8]Bellabarba C, Ricci WM, Bolhofner BR. Distraction external fixation in lateral compression pelvic fractures[J]. J Orthop Trauma, 2006,20(1 Suppl):7-14.

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备注/Memo

备注/Memo:
浙江省科技攻关计划项目资助(2006C33011)
更新日期/Last Update: 2013-11-20