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[骨盆环损伤的手术措施及结果]

[Surgical measures and results in injuries to the pelvic ring].

作者信息

Völkel W

出版信息

Unfallchirurgie. 1983 Aug;9(4):197-201.

PMID:6623710
Abstract

28 out of 34 surgically treated patients with pelvic ring injuries could be checked up. More than 75% of these patients, a rate which is relatively high, suffered from injuries to the ligament joints of the pelvic ring structure. In our cases, the "Schnürsenkel" osteosynthesis, a combination of screws and wire curls, has proved to be very favorable. After having introduced this operation technique, we didn't abandon it any more. 28 patients could be submitted to a check-up examination, which showed no complaints in nine patients and little complaints in fourteen patients. Five patients reported partly considerable subjective troubles, however, only one patient had correspondent X-ray findings. In our opinion, the relatively good results are due to the open reposition which is the only method allowing a complete restoration of the original anatomical structures as well as to the operation technique applied by us.

摘要

34例接受手术治疗的骨盆环损伤患者中,28例能够接受检查。这些患者中超过75%(这一比例相对较高)患有骨盆环结构韧带关节损伤。在我们的病例中,“束带”接骨术(一种螺钉和钢丝圈的组合)已被证明非常有效。在引入这种手术技术后,我们再也没有放弃它。28例患者能够接受检查,其中9例无不适主诉,14例有轻微不适主诉。5例患者报告了部分相当严重的主观不适,但只有1例患者有相应的X线表现。我们认为,相对较好的结果归因于开放复位,这是唯一能够完全恢复原始解剖结构的方法,也归因于我们所采用的手术技术。

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引用本文的文献

1
[Surgical treatment of the symphyseal rupture].[耻骨联合破裂的外科治疗]
Unfallchirurgie. 1985 Oct;11(5):223-7. doi: 10.1007/BF02587966.
2
[Surgical management of injuries to the dorsal pelvic ring by elastic stabilization].[弹性稳定技术治疗骨盆后环损伤的手术管理]
Unfallchirurgie. 1988 Aug;14(4):199-203.

本文引用的文献

1
[Stable and unstable pelvic ring fractures. Treatment and results (author's transl)].[稳定型与不稳定型骨盆环骨折。治疗方法与结果(作者译)]
Arch Orthop Trauma Surg (1978). 1978 Dec 12;93(1):29-41. doi: 10.1007/BF00386549.
2
[The technique of operation with the fixateur externe on the pelvis (author's transl)].[骨盆外固定器的手术技术(作者译)]
Arch Orthop Trauma Surg (1978). 1978 Oct 27;92(4):273-83. doi: 10.1007/BF02341810.
3
[Results after symphyseal ruptures and iliosacral joint luxations].
Hefte Unfallheilkd. 1979(140):249-58.
4
[Therapy of symphyseal rupture and iliosacral joint dislocation].[耻骨联合破裂与骶髂关节脱位的治疗]
Hefte Unfallheilkd. 1979(140):233-8.
5
[Pathophysiology and systematics of ligamentous pelvic injuries and of traumatic hip dislocations].[骨盆韧带损伤与创伤性髋关节脱位的病理生理学及分类学]
Hefte Unfallheilkd. 1979(140):205-20.
6
[Results of the conservative and surgical treatment of pelvic girdle fractures].[骨盆骨折保守治疗与手术治疗的结果]
Hefte Unfallheilkd. 1979(140):143-53.