[1]崔伟孙育良刘婧顾韬石华刚邓轩赓.经皮骶髂螺钉联合逆行耻骨支螺钉治疗不稳定型骨盆骨折的疗效[J].中国微创外科杂志,2025,01(4):210-215.
　Cui Wei,Sun Yuliang,Liu Jing,et al.Efficacy of Percutaneous Sacroiliac Screws Combined With Retrograde Pubic Ramus Screws in the Treatment of Unstable Pelvic Fractures[J].Chinese Journal of Minimally Invasive Surgery,2025,01(4):210-215.
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经皮骶髂螺钉联合逆行耻骨支螺钉治疗不稳定型骨盆骨折的疗效()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2025年4期
页码:
210-215
栏目:
临床研究
出版日期:
2025-04-25

文章信息/Info

Title:
Efficacy of Percutaneous Sacroiliac Screws Combined With Retrograde Pubic Ramus Screws in the Treatment of Unstable Pelvic Fractures
作者:
崔伟孙育良刘婧顾韬石华刚邓轩赓
(四川省骨科医院脊柱科，成都610041)
Author(s):
Cui Wei;  Sun Yuliang;  Liu Jing;  et al.
Department of Spine Surgery, Sichuan Provincial Orthopedic Hospital, Chengdu 610041, China
关键词:
骨盆骨折; 骨折内固定; 骨钉; 微创手术
Keywords:
Pelvic fracture; Internal fixation of fractures; Screw; Minimally invasive surgery
文献标志码:
A
摘要:
目的探讨经皮骶髂螺钉联合逆行耻骨支螺钉治疗不稳定型骨盆骨折的安全性和疗效。方法回顾性分析2021年8月~2023年11月经皮骶髂螺钉联合逆行耻骨支螺钉治疗32例不稳定型骨盆骨折的临床资料。在C臂引导下置入通道螺钉。结果置入通道螺钉75枚，其中骶髂螺钉36枚，逆行耻骨支螺钉39枚。每枚骶髂螺钉透视(32.2±4.6)次，每枚耻骨支螺钉透视(40.3±11.7)次，手术时间(154.2±43.8)min，术中出血量(30.5±8.7)ml。均无医源性血管或神经损伤。1例术后耻骨支螺钉钉道感染，清创取出内固定。骨折均骨性愈合，愈合时间(13.2±3.7)周。骨折复位质量(Matta标准)优27例，良3例，可2例，优良率93.8%(30/32)。CT判断螺钉穿透0级73枚，1级1枚，2级1枚。32例随访6~42个月，(163±6.1)月，按Majeed功能评分，优28例，良3例，可1例，优良率96.9%(31/32)。结论经皮骶髂螺钉联合逆行耻骨支螺钉治疗不稳定型骨盆骨折，操作容易，安全，疗效满意。
Abstract:
ObjectiveTo explore the safety and efficacy of percutaneous sacroiliac screw combined with retrograde pubic ramus screws in the treatment of unstable pelvic fractures.MethodsA retrospective analysis was made on clinical data of 32 cases of unstable pelvic fractures treated with percutaneous sacroiliac screws combined with retrograde pubic ramus screws from August 2021 to November 2023. The channel screws were inserted under the guidance of Carm fluoroscopy.ResultsA total of 75 channel screws were inserted, including 36 sacroiliac screws and 39 retrograde pubic ramus screws. Each sacroiliac screw underwent fluoroscopy for (32.2±4.6) times, and each pubic ramus screw for (40.3±11.7) times. The operation time was (154.2±43.8) min, and the intraoperative blood loss was (30.5±8.7) ml. There were no iatrogenic vascular or nerve injuries. One case of pubic ramus screw infection occurred after surgery, and a debridement was performed to remove internal fixation. All the fractures had bone union, and the healing time was (13.2±3.7) weeks. The quality of fracture reduction (Matta criteria) was excellent in 27 cases, good in 3 cases, and fair in 2 cases, with an excellent and good rate of 93.8% (30/32). CT images showed the penetration of 73 screws at level 0, 1 screw at level 1, and 1 at level 2. All the 32 cases were followed up for 6-42 months (mean, 16.3±6.1 months). According to the Majeed functional scoring criteria, 28 cases were excellent, 3 cases were good, and 1 case was fair, with an excellent and good rate of 96.9% (31/32). ConclusionPercutaneous sacroiliac screws combined with retrograde pubic ramus screws in the treatment of unstable pelvic fractures is easy to operate and safe, and has satisfactory therapeutic effects.

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备注/Memo

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更新日期/Last Update: 2025-06-17