[精品]髂腰固定术治疗垂直不稳DenisⅡ或Ⅲ型骶骨骨折的临床体会.doc

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1、骼腰固定术治疗垂直不稳DenisII或HI型紙骨骨折的临床体会酩腰固定术治疗垂直不稳DenisII或川型紙骨骨折的临床体会［摘耍］目的探讨酩腰固定术治疗垂直不稳DenisII或III型舐骨骨折的临床效果。方法选取本院收治的76例垂直不稳DenisII或型舐骨骨折患者，将其按照入院时间顺序分成对照组与治疗组,对照组患者接受常规手术治疗，治疗组接受翳腰固定术治疗。结果治疗组的治疗效果明显优于对照组，手术时间、骨折完全愈合时间、紙骨生理功能恢复正常时间明显短于对照组，围术期的不良反应发生率明显低于对照组(P<0.05)；两组患者手术后的Gobbons评分与手

2、术前比较均有所改善，且治疗组的改善幅度大于对照组(卩〈0・05)。结论翳腰固定术治疗垂直不稳DenisII或型紙骨骨折的临床效果非常明显。［关键词］酩腰固定术；紙骨骨折；治疗［中图分类号］R274.19［文献标识码］A［文章编号］1674-4721(2014)09(b)-0055-03Clinicalexperienceofi1io~lumbarfixationoperationtreatingverticallyunstableDenistypeIIorITTsacrumfractureHONGWei-ningHUANGYu-pingPIMei-qi

3、ngZHUShao-boDepartmentofOrthopedics,People7sHospitaiofXinganCountyinJiangxiProvince,Xingan331300,China［Abstract］ObjectiveTostudytheclinicaleffectofi1io~lumbarfixationoperationtreatingvertical1yunstableDenistypeIIorITTsacrumfracture・MethodsSeventy—sixpatientswithverticallyunstabl

4、eDenistypeIIorIIIsacrumfractureadmittedintoourhospitaiweredividedintothecontrolgroupandthetreatmentgroupaccordingtothesequenceofbeinghospitaiized・Tnthecontrolgroup,regularsurgicalmethodwasprovided,whi1einthetreatmentgroup,patientsweretreatedbyi1io-lumbarfixationoperation.Results

5、Thetherapeuticeffectofthetreatmentgroupwasremarkablysuperiortothatinthecontrolgroup,theoperationtime,completehealingtimeofbonefracture,andphysiologicalfunctionofsacrumreturningtobenormalwereallshorterincomparisonwiththoseinthecontrolgroupandtheincidencerateofadversereactioninthe

6、treatmentgroupwasobviouslylowerthanthatinthecontrolgroup（P<0.05）・Gobbonsscoreafteroperationwasimprovedinthetwogroupscomparedwithbeforeoperation,andtheimprovementdegreeinthethetreatmentgroupwasgreaterthanthatinthecontrolgroup（P<0.05）.ConclusionTheclinicaleffectofilio-lumbarfixati

7、onoperationtreatingverticallyunstableDenistypeIIorIIIsacrumfractureisveryobvious・[Keywords]Ilio-lumbarfixationoperation；Sacrumfracture；Treatment随着社会的不断发展，骨盆骨折的患者人数在不断增多，而紙骨骨折作为骨盆骨折病例中比较常见的…种，患者人数亦在不断增多，特别是垂直不稳DenisII或III型舐骨骨折，该类骨折在治疗过程屮的复位及固定难度较大[1]-本研究对垂直不稳DenisII或III型紙骨骨折患者实施骼

8、腰固定术治疗的效果进行评价分析，现汇报如下。1资料与方法1・1一般资料资料来源于2011年9月