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[1]卫秀洋,陈勇忠,刘永平,等.改良腰髂骨固定治疗骶骨骨折脱位临床疗效[J].医学研究与战创伤救治(原医学研究生学报),2020,22(2):147-151.[doi:10.3969/j.issn.1672-271X.2020.02.008]
　WEI Xiu yang,CHEN Yong zhong,LIU Yong ping,et al.Clinical improvement of lumbosacral fixation for the treatment of tibiofibular fracture and dislocation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2020,22(2):147-151.[doi:10.3969/j.issn.1672-271X.2020.02.008]
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改良腰髂骨固定治疗骶骨骨折脱位临床疗效()
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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22卷
期数:
2020年2期
页码:
147-151
栏目:
临床研究
出版日期:
2020-03-11

文章信息/Info

Title:
Clinical improvement of lumbosacral fixation for the treatment of tibiofibular fracture and dislocation
作者:
卫秀洋; 陈勇忠; 刘永平; 龚衍丁; 邹仪强
作者单位：350002福州，解放军联勤保障部队第九○○医院仓山院区骨科（卫秀洋、陈勇忠、刘永平、龚衍丁、邹仪强）
Author(s):
WEI Xiuyang;  CHEN Yongzhong;  LIU Yongping;  GONG Yanding;  ZOU Yiqiang
(Department of Orthopaedics, Cangshan Hospital District, the 900th Hospital of the Joint Logistics Support Force，PLA,Fuzhou 350002, Fujian,China)
关键词:
改良腰髂固定; 骶骨骨折; 复位; 疗效
Keywords:
modified lumbosacral fixation;  humeral fracture;  reset;  curative effect
分类号:
R687
DOI:
10.3969/j.issn.1672-271X.2020.02.008
文献标志码:
A
摘要:
目的评价应用改良腰髂骨间固定治疗骶骨骨折脱位的临床效果。方法回顾性分析2015年4月至2017年1月福州总医院476临床部收治的47例骶骨骨折脱位患者临床资料，所有患者采用椎弓根系统经腰椎髂骨间行骨折复位和固定治疗。收集记录手术前、术后1周、术后3个月、末次随访时患者疼痛VAS评分、骨折复位、临床功能指标、骨折愈合情况，并进行评价分析。结果随访14～26（18.5±1.32）个月。术后骨折临床愈合时间为12～18（16.8±0.42）周。VAS评分:术前（8.42±1.07）、术后1周（5.81±0.85）、术后4周（3.81±0.56）、术后3个月（2.29±0.37）、末次随访（0.50±0.08）的评分逐渐减少，差异均有统计学意义（P<0.05)。伤侧骨盆较对侧上移距离术后1周[（3.24±0.33）mm]小于术前[（16.23±3.41）mm]，差异有统计学意义（P<0.05)。术后1周[(3.24±0.33)mm]、术后4周[(3.25±0.32)mm]、术后3个月[（3.25±0.33）mm]、末次随访[（3.24±0.25）mm]的骨盆移位距离差异无统计学意义(P>0.05)。Majeed评分:术后4周（39.63±5.62）、术后3个月（57.42±6.18）、末次随访（92.12±7.75）的评分逐渐增加，差异有统计学意义（P<0.05)。结论改良腰髂骨固定术式治疗骶骨骨折脱位能有效维持骨盆后环稳定，手术操作简单，损伤小、微创、恢复快。
Abstract:
Objective To evaluate of the clinical effect of modified lumbosacral fixation for the treatment of tibiofibular fracture and dislocation.MethodsThis retrospective study was performed based on 47 patients with tibiofibular fractures from April 2015 to January 2017 in 476 Clinical Department of Fuzhou General Hospital with vertebral pedicle system through the lumbar spinehumeral fracture reduction and fixation. The pain VAS scores, fracture reduction, clinical function indicators, and fracture healing of patients were collected and recorded before and after surgery, and evaluated and analyzed.ResultsThe patients were followed up for 14 to 26 (18.5±1.32) months. The clinical healing time of postoperative fractures was 12-18 (16.8±0.42) weeks. The scores before operation (8.42±1.07), 1 week after operation (5.81±0.85), 4 weeks after operation (3.81±0.56), 3 months after operation (2.29±0.37), and the last followup (0.50±0.08) were gradually decreased. The differences were statistically significant (P<0.05). The injury of the injured pelvis [（3.24±0.33）mm] was significantly smaller (P<0.05) than that of the first week after operation [（16.23±3.41）mm]. There was no significant change in pelvic displacement distance at 1 week [(3.24±0.33) mm], 4 weeks [(3.25±0.32) mm], 3 months [(3.25±0.33) mm], and the last followup [(3.24±0.25) mm] (P>0.05). Majeed score: The scores at 4 weeks (39.63±5.62), 3 months (57.42±6.18), and the last followup (92.12±7.75) were gradually increased (P<0.05).ConclusionThe improved lumbar and sacral fixation method is effective in the treatment of sacral fracture and dislocation, which can effectively maintain the stability of the posterior pelvic ring, simple operation, minimal damage, minimally invasive and fast recovery.

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备注/Memo

备注/Memo:
基金项目：福建省自然科学基金（2015J01494）
更新日期/Last Update: 2020-03-11