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不稳定型骨盆骨折的疗效探讨 被引量:37

Efficacy of external fixators in treatment of unstable pelvic fractures
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摘要 目的探讨不稳定型骨盆骨折(TileB和TileC型)的治疗和疗效。方法比较78例骨盆骨折患者使用和非使用骨盆外固定支架手术疗效。结果在38例骨盆骨折患者未使用骨盆外固定支架治疗中,失血性休克的纠正率为76%,死亡率10.6%,平均ISS评分11.6。而在使用骨盆外固定支架治疗的40例患者中,失血性休克的纠正率为90%,死亡率为2.5%,平均ISS评分9.8。结论骨盆外固定支架治疗不稳定型骨盆骨折合并失血性休克,手术简单,疗效可靠,大大降低了患者的死亡率。 Objective To investigate the efficacy of external fixators in the treatment of unstable pelvic fractures( Tile B and Tile C ). Methods The different results of 78 patients who had been treated with or without external fixator were compared. Results In 38 cases who were treated without external fixator, the cure rate for hemorrhagic shock was 76%, the mortality 10.6%, and the average ISS score 11.6. In 40 cases who were treated with external fixator, the cure rate for hemorrhagic shock was 90%, the mortality 2.5%, and the average ISS score 9.8. Conclusion The treatment of unstable pelvic fracture with external fixator is simple and reliable, and can reduce the mortality significantly.
出处 《中华创伤骨科杂志》 CAS CSCD 2004年第5期529-531,共3页 Chinese Journal of Orthopaedic Trauma
关键词 不稳定型 骨盆骨折 失血性休克 外固定支架 死亡率 手术方法 血流动力学 Pelvic fracture Hemorrhagic shock External fixator Mortality
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