【摘要】 目的探讨复杂性髋臼骨折合并C型骨盆骨折的手术治疗方法。方法通过对2002年3月~2007年11月间髋臼骨折合并骨盆骨折的病人进行分类总结,按照骨盆骨折Tile分类法和髋臼改良Judet-Letourol分类法,共有13例复杂性髋臼骨折合并C型骨盆骨折,都通过积极手术前处埋后,择期行联合切口进行切开复位钢板、螺钉内固定,平均随访治疗2.4年(0.5~4年)。结果 13例病人中除1例病人部分伤口延期至术后20天愈合外(脂肪液化),其余病人伤口均一期愈合,有2例髋臼骨折复位欠佳,术后随访0.5~4年,有1例病人创伤性髋关节炎疼痛较频繁、跛行外,另有2例只有疼痛症状,无跛行,镇痛治疗后症状缓解,有5例病人感患侧酸痛,能忍受,不影响工作及生活,有5例病人感觉与受伤前无明显差别。结论积极术前准备,尽早行骨折切开复位内固定是治疗复杂性髋臼骨折合并C型骨盆骨折的有效治疗手段,在手术入路及手术具体策略中应遵照个体化原则。更多还原

【Abstract】 Objective To study the complexity of the acetabular fracture merger C pelvic fractures the surgical treatment of the method.Methods Through Mar 2002 to Nov 2007 acetabular merger between fracture patients pelvic fractures are classified according to summarize,pelvic fractures Tile classification and the acetabular Judet-Letourol classification,improved 13 cases were complexity acetabular merger fracture C pelvic fractures,all through the positive before the operation after haing electie line,buried in joint incision open reduction steel plate,screw internal fixation,average follow-up treatment 2.4(0.5~4 years).Results 13 patients except 1 patient wound postponed to 20 days after the healing(fat liquefaction),the others are primary healing wound patient in 2 cases,the acetabular poor fracture restoration,follow-up of 0.5~4 years,have 1 patient traumatic hip osteoarthritis pain are more frequent,lame,and another in 2 cases only pain symptoms,without a limp,and analgesia symptoms after treatment,5 patients feeling of the ache,can bear,not influence the work and life,5 patients feel and no obvious difference between before the injury.Conclusion Positive preoperative preparation,do as early as possible fractures internal fixation(orif is for complex fracture acetabular merger C pelvic fractures the effective treatment means,in surgical approach and operation in the specific strategies should follow the principle of individual.更多还原