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杨永华 胡 斌 杨海龙 杨敏捷 高展望.C臂机透视下骨盆骨折经皮空心螺钉内固定的临床应用研究[J].中国现代医生,2021,59(30):74-76+80
C臂机透视下骨盆骨折经皮空心螺钉内固定的临床应用研究
Clinical application of percutaneous hollow screw internal fixation in pelvic fracture under C-arm fluoroscopy
  
DOI:
中文关键词:  C 臂机透视  经皮空心螺钉内固定  骨盆骨折  VAS 评分  majeed 评分  并发症
英文关键词:C-arm fluoroscopy  Percutaneous hollow screw internal fixation  Pelvic fracture  VAS score  majeed score  Complications
基金项目:江西省卫生计生委科技计划项目(20167094)
作者单位
杨永华 胡 斌 杨海龙 杨敏捷 高展望 江西省九江市第一人民医院骨三科江西九江 332000 
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中文摘要:
      目的 探讨C 臂机透视下骨盆骨折经皮空心螺钉内固定的临床应用价值。方法 选取2015 年7 月至2016年12 月九江市第一人民医院80 例骨盆骨折患者作为研究对象,按照随机数字表法分为观察组(C 臂机透视下经皮空心螺钉内固定治疗)与对照组(传统切开复位内固定手术治疗)两组,每组各40 例。比较两组患者手术指标、治疗前后VAS 评分、majeed 评分,随访术后并发症发生率。结果 观察组患者手术时间、术后下床活动时间及住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);两组患者治疗前VAS 评分、majeed评分比较,差异无统计学意义(P>0.05),治疗后观察组VAS 评分和majeed 评分均优于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率为5.0%(2/40),低于对照组的22.5%(9/40),差异有统计学意义(P<0.05)。结论C 臂机透视下经皮空心螺钉内固定应用于Tile B 型、C 型骨盆骨折患者,创伤小、术后恢复快,在缓解疼痛、提升术后骨盆功能方面有突出效果,并发症少,应掌握其适应证,发挥该术式的优势。
英文摘要:
      Objective To explore the clinical application value of percutaneous hollow screw internal fixation in pelvic fracture under C-arm fluoroscopy.Methods Eighty patients with pelvic fracture from July 2015 to December 2016 in Jiujiang NO.1 People's Hospital were selected as the study subjects.They were divided into the observation group (percutaneous hollow screw internal fixation under C-arm fluoroscopy) and the control group (traditional open reduction and internal fixation) according to random number table,with 40 cases in each group.The surgical indicators,VAS score before and after treatment,majeed score,and the incidence of postoperative complications were compared between the two groups.Results The operation time,postoperative off-bed activity time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The differences in VAS score and majeed score before treatment between the two groups were not statistically significant(P>0.05).The VAS score and majeed score after treatment in the observation group were superior to those in the control group,and the differences were statistically significant (P<0.05).The incidence rate of complications in the observation group was 5.0%(2/40),lower than 22.5% (9/40) in the control group,and the differences was statistically significant(P<0.05).Conclusion The application of percutaneous hollow screw internal fixation under C-arm fluoroscopy in patients with Tile type B and C pelvic fractures has the advantages of small trauma,rapid postoperative recovery.It has outstanding effects in relieving pain and improving postoperative pelvic function,with few complications.The indications should be mastered and the advantages of the procedure should be exerted.
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