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椎弓根钉棒系统治疗不稳定型骨盆骨折的疗效观察

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目的 观察椎弓根钉棒系统应用于不稳定型骨盆骨折患者的临床效果.方法 选取2020年5月至2022年5月不稳定型骨盆骨折患者81例,采用随机数字表法分为观察组(41例)与对照组(40例),观察组采用椎弓根钉棒系统治疗,对照组采用骶髂关节前路钢板内固定治疗.比较两组临床疗效、围术期指标、治疗前后生命体征及术后并发症发生率.结果 观察组优良率为95.12%,高于对照组77.50%(P<0.05);与对照组相比,观察组术中出血量较小(P<0.05);两组手术时间、住院时间比较差异无统计学意义(P>0.05);治疗后两组舒张压、收缩压均升高,观察组升高幅度低于对照组(P<0.05);两组呼吸频率、心率均降低,观察组降低幅度高于对照组(P<0.05);两组术后并发症发生率比较差异无统计学意义(P>0.05).观察组死亡率为4.88%,对照组死亡率为22.5%,差异有统计学意义(P<0.05).结论 与钢板内固定相比,使用椎弓根钉棒系统治疗不稳定型骨盆骨折患者疗效显著,有利于减少骨折区域的出血量,稳定患者的生命体征,降低死亡率.
Objective To observe the clinical effect of pedicle screw rod system in patients with unstable pelvic fracture.Methods 81 patients with unstable pelvic fracture from May 2020 to May 2022 were randomly divided into the observation group(n=41)and the control group(n=40),the treatment group was treated with pedicle screw and rod system,and the control group was treated with anterior sacroiliac plate internal fixation.The clinical effects,perioperative indexes,vital signs and postoperative complications were compared between the two groups.Results The excellent and good rate of the observation group was 95.12%,which was higher than that of the control group(77.50%,P<0.05).There was no significant difference in operation time and hospitalization time between the two groups(P>0.05),but after treatment,the diastolic and systolic blood pressure increased in both groups,and the increasing range in the observation group was lower than that in the control group(P>0.05).The respiratory rate and heart rate of the two groups were decreased,and the decreased range of the observation group was higher than that of the control group(P<0.05),and there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The mortality was 4.88%in the observation group and 22.5%in the control group(P<0.05).Conclusion Compared with plate internal fixation,the treatment of unstable pelvic fractures with pedicle screw rod system is effective,which can reduce the amount of bleeding in the fracture area,stabilize the patients'vital signs and reduce the mortality.

Pedicle screw rod systemPlate internal fixationUnstable pelvic fracture

余玉珍、孔来法、丁颖威

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321000 浙江大学医学院附属金华医院

椎弓根钉棒系统 钢板内固定 不稳定型骨盆骨折

浙江省医药卫生科技计划

2022ZH063

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(3)
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