骨盆后环骨折合并腰骶丛损伤的临床分析

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1、万方数据山东大学硕‘上学位论义关键词：骨盆后环骨折，腰骶丛，损伤，感觉障碍，运动障碍，减压4万方数据山东大学硕上学位论文THECLINICALRESEARCHOFPOSTERIORPELVICIUNGFRACTURECOMPLICATEDWITHLUMBOSACRALObjective：PLEXUSINJURYSpecialtyPostgraduateSupervisorOrthopedicsZhaoZhimengProf．ZhouDongshengABSTRACT1．Investigatethecl

2、inicalmanifestationofposteriorpelvicringfracturecomplicatedwithlumbosacralplexusinjury．2．Investigatethediagnosisstrategyofposteriorpelvicringfracturecomplicatedwithlumbosacralplexusinjury．3．Summarizeandanalyzethetherapeuticeffectofdifferentwaystreatingt

3、hepatientsdiagnosedwithposteriorpelvicringfracturecomplicatedwithlumbosacralplexusinjury,thenexplorethebesttreatmentprotoc01．Method：DuringtheperiodbetweenJanuary1，2005andJanuary1，2013，205pelvicfractureswereadmittedtothetraumaticorthopedicwardofShandongP

4、rovincialhospital，and43patients(28male，15female；meanage36．3years)werediagnosedwithposteriorpelvicringfracturecomplicatedwithlumbosacralplexusinjury．Themechanismsofinjurywerevehicleaccidentin28cases，bruisein2cases，fallingdownin6cases，explosionin1case，cru

5、shin6cases．AccordingtoTile’Spelvicfractureclassification，typeAwas3cases，typeBwas15cases，typeCwas25cases．AccordingDenis’Ssacralfractureclassification，typeDenis1was2cases，typeDenis11was13cases，typeDenis111was16cases．39casesofallpatientswereclosedpelvicfra

6、cture，amongofwhich7caseswereoldpelvicfracture，whiletheother4caseswereopenpelvicfracture．ISSscorerangesfrom16to43，withanaveragescoreof22．2．Everypatientwastreatedfollowingfirstaidprincipleofpelvicfracture，5万方数据山东大学硕-上学位论文andtheyallwerediagnosedwithpelvicf

7、racturecomplicatedwithlumbosacralplexusinjuryreferringtopatients’clinicalmanifestations，imageologicalexaminations，EMGresultsandSOononcetheirconditionbecamestable．Thenalloftheirlumbosacralplexusnerverootsegmentswerelocatedbytheirclinicalmanifestationsuch

8、asfeelingbarrieror／andmotorbarrier,andtheyallgotfeelingscoreandmotorscoreaccordingtOASIAstandard．11ofthe43patientsweregivenconservativetreatmentaboutnerverootinjury，whiletheother21hadtheirinjurednerverootsdepressed，including10cas