地震伤C1型骨盆骨折的微创治疗
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摘要
[目的]探讨地震伤C1型骨盆骨折经皮微创技术治疗的可行性。[方法]13例Tile分类C1型骨盆骨折患者采取前环骨盆外固定架结合在C型臂X线机引导下经皮微创技术置入拉力螺钉复位固定骶髂关节。[结果]C型臂X线机引导下经皮置入空心拉力螺钉成功,外固定架固定骨盆前环复位良好,术后复查X线片复位满意。[结论]外固定架结合C型臂X线机引导下经皮置入空心拉力螺钉是治疗骨盆C1型骨折的最好方法之一。
[Objective]To investigate the possibility of percutaneous minimally invasive technique in treating patients with type C1 pelvic fracture injured in the earthquake.[Method]Thirteen patients with Type C1 pelvic fracture determined by Tile Classification received reduction with external fixation frame for pelvic anterior ring and with cannulated lag screw for pelvic posterior ring fixation guided under C-arm X-ray.[Result]The cannulated lag screw was successfully implanted percutaneously guided under C-arm X-ray,and post-operation X-ray showed satisfactory reduction.[Conclusion]It is an optimum choice for treating C1 pelvic fracture with external fixation frame combined with cannulated lag screw percutaneously implanted under C-arm X-ray.
[Objective]To investigate the possibility of percutaneous minimally invasive technique in treating patients with type C1 pelvic fracture injured in the earthquake.[Method]Thirteen patients with Type C1 pelvic fracture determined by Tile Classification received reduction with external fixation frame for pelvic anterior ring and with cannulated lag screw for pelvic posterior ring fixation guided under C-arm X-ray.[Result]The cannulated lag screw was successfully implanted percutaneously guided under C-arm X-ray,and post-operation X-ray showed satisfactory reduction.[Conclusion]It is an optimum choice for treating C1 pelvic fracture with external fixation frame combined with cannulated lag screw percutaneously implanted under C-arm X-ray.
引文
[1]Tile M.Pelvic ring fractures:should they be fixed[J].Bone Joint Surg(Br),1988,1:1-12.
[2]姜宝国,张殿英,傅中国,主译.骨盆与髋臼骨折[M].北京:北京大学医学出版社,2005,45.
[3]Routt ML J r,Nork SE,Mills WJ,et al.Percutaneous fixation of Pel-vic ring disruptions[J].Clin Orthop Relat Res,2000,5,15.
[4]薛波,胡勇,徐荣明,等.CT引导下空心拉力螺钉内固定治疗骶髂复合体损伤[J].骨与关节损伤杂志,2004,7:445-447.
[5]王亮,于四堂,刘秀民,等.仰卧位CT引导下骶髂螺钉内固定治疗骨盆后环损伤[J].中国矫形外科杂志,2007,20:1573-1574.
[6]Bellabarba C,Ricci WM,Bolhofner BR.Distraction externalfixation in lateral compession pevic fractures[J].Orthop Trauma,2000,14:475.
[7]丁浩,马金忠.不稳定型骨盆骨折的手术治疗[J].中国骨与关节损伤杂志,2007,1:50.
[2]姜宝国,张殿英,傅中国,主译.骨盆与髋臼骨折[M].北京:北京大学医学出版社,2005,45.
[3]Routt ML J r,Nork SE,Mills WJ,et al.Percutaneous fixation of Pel-vic ring disruptions[J].Clin Orthop Relat Res,2000,5,15.
[4]薛波,胡勇,徐荣明,等.CT引导下空心拉力螺钉内固定治疗骶髂复合体损伤[J].骨与关节损伤杂志,2004,7:445-447.
[5]王亮,于四堂,刘秀民,等.仰卧位CT引导下骶髂螺钉内固定治疗骨盆后环损伤[J].中国矫形外科杂志,2007,20:1573-1574.
[6]Bellabarba C,Ricci WM,Bolhofner BR.Distraction externalfixation in lateral compession pevic fractures[J].Orthop Trauma,2000,14:475.
[7]丁浩,马金忠.不稳定型骨盆骨折的手术治疗[J].中国骨与关节损伤杂志,2007,1:50.
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