第四军医大学学报2009,Vol.30Issue(21) :2421-2423.

微创经皮固定及早期康复治疗不稳定型骨盆骨折的效果评价

Evaluation of minimally invasive percutaneous fixation and early rehabilitation treatment of the patients with unstable pelvic fractures

周振东 杨军 李建军
第四军医大学学报2009,Vol.30Issue(21) :2421-2423.

微创经皮固定及早期康复治疗不稳定型骨盆骨折的效果评价

Evaluation of minimally invasive percutaneous fixation and early rehabilitation treatment of the patients with unstable pelvic fractures

周振东 1杨军 1李建军1
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作者信息

  • 1. 中国医科大学附属盛京医院脊柱创伤骨科,辽宁,沈阳,110004
  • 折叠

摘要

目的:评价微创经皮固定及早期康复治疗法治疗不稳定型骨盆骨折的效果.方法:50例不稳定型骨盆骨折患者随机分为对照组(n=25)和观察组(n=25),对照组采用常规治疗,观察组采用微创经皮固定及早期康复治疗法.治疗后对两组患者的临床效果进行比较.结果:观察组临床优良率与对照组无统计学差异.观察组手术时间、术中出血量、切口长度、术后发热时间、住院天数均明显少于对照组,具有统计学差异(P<0.01).观察组不良反应发生率与对照组比较无统计学差异,而且也无感染、患肢缩短、骨盆扭转变形等严重并发症.结论:微创经皮固定及早期康复治疗法治疗不稳定型骨盆骨折疗效佳,而且相对安全,建议临床进一步推广.

Abstract

AIM:To evaluate the effects of minimally invasive percutaneous fixation and early rehabilitation treatment of the patients with unstable pelvic fractures.METHODS:Finy cases with unstable pelvic fractures in our hospital were randomly divided into observation group and control group,and the control group was treated with conventional treatment,the observation group was treated with minimally invasive percutaneous fixation and early rehabilitation.The clinical results were compared for these 2 groups.RESULTS:Observer Group,clinical excellent and good rate with the control group,no significant difference(P>0.05).①Observer Group operative time,bleeding volume,incision length,postoperative fever,length of hospital stay were significantly less than the control group,with significant differences(P<0.01).②Observer Group in the course of treatment the incidence of adverse reactions compared with the control group showed no significant differences,but also without infection,limb shortening,pelvis and other serious complications torsion.CONCLUSION:Minimally invasive percutaneous fixation and Early rehabilitation is effective in treatment of the patients with Unstable pelvic fractures,which should be suggested in clinical experiences.

关键词

不稳定型骨盆骨折/微创/康复/疗效

Key words

unstable pelvic fractures/minimally invasive/rehabilitation/effect

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基金项目

辽宁省科技计划(20081228)

出版年

2009
第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
被引量2
参考文献量4
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