INFIX技术在治疗骨盆前环骨折的疗效分析
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宁夏医科大学总医院

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宁夏自然科学基金项目(编号:2019AAC03241)


compare the effect and advantage of traditional external fixator and INFIX technique in the treatment of Anterior Pelvic Ring Fracture
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general hospital of Ningxia medical university

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Ningxia natural science foundation project (NO. 2019AAC03241)

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    摘要:

    [目的]通过比较传统外固定架与INFIX技术治疗骨盆前环骨折的疗效,探讨INFIX技术在治疗骨盆前环骨折中的优势。[方法]回顾性分析宁夏医科大学总医院创伤骨科自2017年5月至2019年11月采用手术治疗的42例骨盆前环骨折患者(Tile B1型8例、Tile B2型 17例、Tile B3型11例、Tile C1型 4例、Tile C2型2例);男20例、女22例;年龄25-61;平均43.6岁; 其中采用骨盆外固定架治疗的21例(外固定架组),采用INFIX技术治疗21例(INFIX组)。记录并对比两组患者的手术时间、手术失血量及术后并发症。所有患者术后随访半年,X线观察骨折愈合情况及愈合时间。采用Matta评分系统评估患者骨折复位情况;采用Majeed评分系统评估患者功能预后情况;采用VAS评分系统评估患者术后疼痛情况;记录术后并发症情况。 [结果] INIFX组患者手术时间及手术失血量大于外固定架;术后并发症发生率小于外固定架组;Matta评分、Majeed评分优良率、VAS评分及骨折愈合时间均优于外固定架组。[结论] INFIX技术治疗骨盆前环骨折相对于传统外固定架技术具有更好的治疗效果。

    Abstract:

    [objective] To compare the effect and advantage of traditional external fixator and INFIX technique in the treatment of Anterior Pelvic Ring Fracture. [Methods] From May 2017 to November 2019. Forty-two patients with anterior pelvic ring fractures (Tile B1 8 patients, Tile B2 17 patients, Tile B3 11 patients, Tile C1 4 patients, Tile C2 2 patients) were treated surgically in the Department of Trauma Orthopedics in General Hospital of Ningxia Medical University. Of all 42 patients, there were 20 males and 22 females; The mean age was 43.6 years (ranged:25 to 61 years) ; 21 patients were treated with External Pelvic Fixation (external fixater group) and 21 patients were treated with INFIX technique (INFIX group) . The operative time, operative blood loss and postoperative complications were recorded and compared between the two groups. All patients were followed up for half a year, and the union of fracture and the union time were observed by x-ray. Fracture reduction was evaluated by Matta score system, functional outcome was evaluated by Majeed score system, postoperative pain was evaluated by VAS score system, Postoperative complications were recorded and compared. [Results] The operative time and operative blood loss of INIFX group were longer than that of Control Group, The incidence of postoperative complications was lower than that of the external fixater group, and the Matta Score, Majeed Score, VAS score and fracture healing time of INIFX group were better than that of external fixater group. [Conclusion] INFIX technique is better than external fixation in the early rehabilitation of Anterior Pelvic Ring Fracture. Pelvic Ring Fracture.

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  • 收稿日期:2019-12-23
  • 最后修改日期:2020-03-26
  • 录用日期:2020-04-13
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