Ivanov P A, Faĭn A M, Smoliar A N, Shchetkin V A
Khirurgiia (Mosk). 2014(10):64-7.
The aim of investigation is improvement of treatment results of unstable injuries in the pelvic ring in patients with severe associated injuries. An experience of treatment of 533 patients with unstable pelvic injuries is presented. Diagnostic measures take into account the severity of the condition of the victim. Stage treatment with consecutive performing of temporary external immobilization of the pelvis and following final osteosynthesis was optimal. Replacement of external fixation for submersible osteosynthesis held in stable or terminal condition of the victim. Developed treatment of patients with pelvic injuries decreased mortality to 8.4%, number of general complications to 11.6% and number of local complications to 8.7%. Also it decreased length of hospital stay to 35.5 days and provided excellent and good functional results of treatment in 78.9% of cases.
研究的目的是改善伴有严重合并伤的骨盆环不稳定损伤患者的治疗效果。本文介绍了533例骨盆不稳定损伤患者的治疗经验。诊断措施考虑了受害者病情的严重程度。分阶段治疗，依次进行骨盆临时外固定，随后进行最终的骨固定，是最佳治疗方式。在受害者病情稳定或处于终末期时，将外固定更换为深部骨固定。所制定的骨盆损伤患者治疗方案将死亡率降至8.4%，全身并发症数量降至11.6%，局部并发症数量降至8.7%。同时，住院时间缩短至35.5天，78.9%的病例获得了优良的治疗功能效果。
