标题：不同内固定方法治疗骨盆骨折合并骶髂关节脱位的临床疗效比较

      作者：徐火荣，徐文强
    （惠东县人民医院外一科，广东 惠东 516300）

      卷次： 2013年24卷8期

      【摘要】 目的 观察经皮空心螺钉内固定和切开复位重建钢板内固定治疗骨盆骨折合并骶髂关节脱位的
临床疗效。方法 选取我院 2009年3月至2012年3月进行手术治疗的38例骨盆骨折合并骶髂关节脱位患者
进行病例对照研究，其中观察组（n=19）采用经皮空心螺钉内固定的术式进行固定治疗，对照组（n=19）采用切开
复位重建钢板内固定的术式进行固定治疗，对比两种固定术式的骨折移位和术后功能恢复情况。结果 观察组
患者术后骨折移位属优者较多。两组患者术后各项恢复情况比较，观察组达优者 10例(52.63%)，较对照组 4例
(21.05%)多，差异具有统计学意义（P<0.05）。结论 经皮空心螺钉内固定相对于传统的切开复位重建钢板内固
定对患者正常生理结构和功能损伤小，术后恢复快，治疗效果优。

      【关键词】 骨盆骨折；骶髂关节脱位；经皮空心螺钉；内固定；切开复位重建钢板内固定

      【中图分类号】 R683.3 【文献标识码】 A 【文章编号】 1003—6350（2013）08—1194—02


Complicated with sacroiliac joint dislocation.
XU Huo-rong, XU Wen-qiang. Huidong County People's Hospital,
Huidong 516300, Guangdong, CHINA

【Abstract】 Objective To observe the clinical efficacy of percutaneous cannulated screw fixation or open re-
duction and internal fixation with reconstruction plate in the treatment of pelvic fracture complicated with sacroiliac
joint dislocation. Methods Thirty-eight patients of pelvic fracture complicated with sacroiliac joint dislocation treat-
ed by surgery from March 2009 to March 2012 were selected for a case-control study. The patients were divided into
two groups, each with 19 patients. The observation group was treated by percutaneous cannulated screw fixation,
while the control group applied open reduction and internal fixation with reconstruction plate. The displacement of the
fracture and postoperative functional recovery were compared between the two groups. Results The condition of
fracture displacement in the observation group was better than that in the control group. The postoperative functional
recovery was found excellent in 10 patients (52.63%) in the observation group and 4 patients (21.05%) in the control
group, with statistically significant difference between the two groups (P<0.05). Conclusion Percutaneous cannulat-
ed screw fixation results in less injury in the normal physiological structure, faster recovery after surgery, and better
clinical efficacy, compared with conventional open reduction and internal fixation with reconstruction plate.

      【Key words】 Pelvic fracture; Sacroiliac joint dislocation; Percutaneous cannulated screw fixation; Open reduc-
tion and internal fixation with reconstruction plate