[1]褚鹏程,张鹏,李刚.闭合复位前环皮下内固定支架治疗骨盆前环骨折的单中心回顾性研究[J].中国中医骨伤科杂志,2024,32(05):60-65+71.[doi:10.20085/j.cnki.issn1005-0205.240512]
　CHU Pengcheng,ZHANG Peng,LI Gang.Retrospective Study of Closed Reduction and Anterior Subcutaneous Internal Fixation of Pelvic Anterior Ring Fractures in A Single Center[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(05):60-65+71.[doi:10.20085/j.cnki.issn1005-0205.240512]
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闭合复位前环皮下内固定支架治疗骨盆前环骨折的单中心回顾性研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年05期
页码:
60-65+71
栏目:
临床论著
出版日期:
2024-05-05

文章信息/Info

Title:
Retrospective Study of Closed Reduction and Anterior Subcutaneous Internal Fixation of Pelvic Anterior Ring Fractures in A Single Center
文章编号:
1005-0205(2024)05-0060-06
作者:
褚鹏程1; 张鹏1; 李刚1
1临汾市人民医院(山西 临汾,041000)
Author(s):
CHU Pengcheng1; ZHANG Peng1; LI Gang1
1Linfen People's Hospital,Linfen 041000,Shanxi China.
关键词:
骨盆前环骨折;  闭合复位;  微创手术;  前环皮下内固定;  钢板内固定;  炎性反应;  骨盆功能;  安全性
Keywords:
anterior pelvic ring fracture;  closed reduction;  minimally invasive surgery;  anterior ring subcutaneous internal fixation;  steel plate internal fixation;  inflammatory response;  pelvic function;  security
分类号:
R683.3
DOI:
10.20085/j.cnki.issn1005-0205.240512
文献标志码:
A
摘要:
目的:探讨闭合复位前环皮下内固定支架(INFIX)内固定治疗骨盆前环骨折的效果。方法:选取2019年1月至2023年1月收治的82例骨盆前环骨折患者进行单中心回顾性研究,根据手术方法不同分为观察组(44例)和对照组(38例)。观察组行闭合复位INFIX内固定术,对照组行经皮钢板内固定术。比较两组患者手术一般情况、骨折复位效果、术后恢复情况、术后Majeed评分及功能预后、炎性因子(C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α))、并发症情况。结果:观察组患者术中出血量低于对照组,手术时间短于对照组,差异有统计学意义(P<0.05)。观察组患者骨折复位优良率、骨折愈合时间、开始部分负重时间、开始完全负重时间与对照组比较,差异无统计学意义(P>0.05); 观察组患者术后3个月性生活及坐位评分低于对照组,差异有统计学意义(P<0.05)。观察组患者术后3个月及6个月功能预后优良率分别为86.36%和93.18%,与对照组的89.47%和92.11%比较,差异无统计学意义(P>0.05)。术后3 d和7 d观察组患者CRP、IL-6、TNF-α均低于对照组,差异有统计学意义(P<0.05); 观察组患者并发症发生率2.27%(1/44)与对照组5.26%(2/38)比较,差异无统计学意义(P>0.05)。结论:闭合复位INFIX内固定与经皮钢板内固定术是骨盆前环骨折患者安全可靠的治疗方案,但前者能缩短手术时间,减少出血量,减轻炎症反应,改善患者早期性生活。
Abstract:
Objective:To investigate the efficacy of closed reduction anterior ring subcutaneous internal fixation stent(INFIX)on the treatment of anterior pelvic ring fracture.Methods:82 patients with pelvic anterior ring fractures from January 2019 to January 2023 were selected.The patients were divided into observation group(44 cases)and control group(38 cases)according to different surgical methods.The observation group underwent closed reduction and INFIX internal fixation,while the control group underwent percutaneous plate internal fixation.The general conditions of the surgery,fracture reduction efficacy,postoperative recovery,postoperative Majeed score and functional prognosis,inflammatory factors(C-reactive protein(CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)),and complications were compared between the two groups.Results:The intraoperative blood loss in observation group were lower than those in control group,and the operative time was shorter than that in control group(P<0.05).There were no significant differences in fracture reduction rate,fracture healing time,partial weight bearing time and full weight bearing time between observation group and control group(P>0.05).The sexual life and sitting scores of observation group were lower than those of control group 3 months after operation(P<0.05).The good and good rates of functional prognosis in the observation group were 86.36% and 93.18% at 3 months and 6 months after surgery,compared with 89.47% and 92.11% in the control group(P>0.05).CRP,IL-6 and TNF-α in observation group were lower than those in control group 3 d and 7 d after surgery(P<0.05).There was no significant difference in the incidence of complications between the observation group 2.27%(1/44)and the control group 5.26%(2/38)(P>0.05).Conclusion:Closed reduction INFIX internal fixation and percutaneous plate internal fixation are safe and reliable treatment options for patients with anterior pelvic ring fractures,but the former can shorten the operation time,reduce the amount of blood loss,alleviate inflammation and improve the early sex life of patients.

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备注/Memo

备注/Memo:
基金项目:山西省卫生健康委科研课题(2018152)
更新日期/Last Update: 2024-05-15