微创内固定治疗骨盆前环骨折的效果研究进展
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摘要
盆骨前环骨折是临床上较为常见的盆骨骨折类型,其主要是指累及耻骨支与耻骨联合的骨盆骨折,针对稳定的骨盆前环骨折临床一般采用保守治疗,而针对不稳定的骨盆前环骨折临床多采用手术治疗,内固定或者是外固定手术治疗是临床上常采用的两种手术方式,其中外固定支架由于不能充分保证的稳定性,因此常用于临时固定;而内固定是目前临床用于治疗骨盆前环骨折最稳定的固定方式;同时随着计算机技术以及影像学技术的不断发展,微创内固定治疗骨盆前环骨折成为了可能,因此本文简要探讨了微创内固定治疗骨盆前环骨折的效果进展。
Pelvic anterior ring fracture is a common type of pelvic fracture in clinical practice, which mainly refers to pelvic fracture involving pubic branch and pubic symphysis. Conservative treatment is generally applied for stable pelvic anterior ring fracture, and surgical treatment is mostly applied for unstable pelvic anterior ring fracture.Internal or external fixation are two kinds of common operations in clinical practice. External fixator is often applied for temporary fixation for its insufficient stability. And internal fixation is the most stable method for anterior pelvic ring fracture. With development of computer technology and imaging technology, it is possible for minimally invasive internal fixation in treatment of anterior pelvic ring fracture. Therefore, the paper discusses effect research progress of minimally invasive internal fixation in treatment of anterior pelvic ring fractures briefly.
Pelvic anterior ring fracture is a common type of pelvic fracture in clinical practice, which mainly refers to pelvic fracture involving pubic branch and pubic symphysis. Conservative treatment is generally applied for stable pelvic anterior ring fracture, and surgical treatment is mostly applied for unstable pelvic anterior ring fracture.Internal or external fixation are two kinds of common operations in clinical practice. External fixator is often applied for temporary fixation for its insufficient stability. And internal fixation is the most stable method for anterior pelvic ring fracture. With development of computer technology and imaging technology, it is possible for minimally invasive internal fixation in treatment of anterior pelvic ring fracture. Therefore, the paper discusses effect research progress of minimally invasive internal fixation in treatment of anterior pelvic ring fractures briefly.
引文
[1]刘华水,段升军,贾逢爽,等.Ti Robot机器人辅助经皮空心螺钉内固定治疗不稳定型骨盆骨折[J].山东大学学报(医学版),2017,55(7):103-109.
[2]汪金平,李翱翔,莫世赞,等.经皮耻骨上支螺钉内固定治疗不稳定骨盆骨折的疗效评价[J].中国骨与关节损伤杂志,2016,31(10):1056-1057.
[3]张殿英,郁凯,董胜利,等.微创经皮桥接钢板技术治疗骨盆前环骨折的疗效分析[J].中华创伤杂志,2013,29(1):33-37.
[4]王朝晖,何波涌,曾敏川,等.经皮钉-棒内支架治疗不稳定骨盆前环骨折[J].创伤外科杂志,2016,18(4):196-199.
[5]徐圣康,王娜,赵猛,等.微创经皮骨盆前环内固定架在TileB型骨折中的应用及早中期疗效观察[J].中国骨与关节损伤杂志,2016,31(2):174-175.
[6]徐烁,肖建春,党小伍.微创经皮重建钢板内固定治疗骨盆前环骨折[J].中华创伤骨科杂志,2014,16(5):454-456.
[7]熊为,刘家国,赵猛,等.椎弓根钉棒系统皮下内固定治疗骨盆前环不稳定骨折[J].创伤外科杂志,2016,18(4):244-245.
[8]郎鑫华,连勇,胡长青,等.椎弓根钉棒系统皮下内固定技术在骨盆前环骨折治疗中的应用[J].临床合理用药杂志,2018,11(04):146-148.
[9]熊为,赵猛,张劲松,等.椎弓根钉棒系统皮下内固定治疗骨盆前环不稳定骨折的系统评价[J].湖北医药学院学报,2016,35(02):165-169+181+231.
[10]张彦龙.骨盆前方皮下内固定架治疗不稳定骨盆骨折[J].中华创伤杂志,2015,31(9):828-832.
[11]黄光平.C形臂X线透视下经皮空心螺钉微创内固定治疗骨盆前后环骨折[J].中国骨伤,2014,27(4):345-348.
[12]陈超,于利.微创内固定治疗骨盆前环骨折研究进展[J].中国医师进修杂志,2014,37(14):73-75.
[13]骆琦,肖文芝,陈涌,等.内镜辅助下颧弓骨折切开复位内固定治疗的临床研究[J].华西口腔医学杂志,2016,34(2):166-168.
[14]饶志涛.经骨盆前环皮下钢板内固定治疗骨盆前环骨折[J].中国矫形外科杂志,2014,22(3):277-280.
[15]田维,刘兆杰,王宏川,等.微创内固定治疗骨盆前环损伤[J].中华骨科杂志,2018,38(5):264-271.
[16]唐春晖,唐旭东,罗伟.髂腹股沟微创小切口在骨盆前环损伤中的应用[J].中国骨伤,2013,26(11):952-955.
[17]高嘉锴,贾帅军,袁志,等.2D导航辅助经皮骶髂螺钉治疗骨盆后环骨折经验分析[J].现代生物医学进展,2016,16(19):3668-3672.
[2]汪金平,李翱翔,莫世赞,等.经皮耻骨上支螺钉内固定治疗不稳定骨盆骨折的疗效评价[J].中国骨与关节损伤杂志,2016,31(10):1056-1057.
[3]张殿英,郁凯,董胜利,等.微创经皮桥接钢板技术治疗骨盆前环骨折的疗效分析[J].中华创伤杂志,2013,29(1):33-37.
[4]王朝晖,何波涌,曾敏川,等.经皮钉-棒内支架治疗不稳定骨盆前环骨折[J].创伤外科杂志,2016,18(4):196-199.
[5]徐圣康,王娜,赵猛,等.微创经皮骨盆前环内固定架在TileB型骨折中的应用及早中期疗效观察[J].中国骨与关节损伤杂志,2016,31(2):174-175.
[6]徐烁,肖建春,党小伍.微创经皮重建钢板内固定治疗骨盆前环骨折[J].中华创伤骨科杂志,2014,16(5):454-456.
[7]熊为,刘家国,赵猛,等.椎弓根钉棒系统皮下内固定治疗骨盆前环不稳定骨折[J].创伤外科杂志,2016,18(4):244-245.
[8]郎鑫华,连勇,胡长青,等.椎弓根钉棒系统皮下内固定技术在骨盆前环骨折治疗中的应用[J].临床合理用药杂志,2018,11(04):146-148.
[9]熊为,赵猛,张劲松,等.椎弓根钉棒系统皮下内固定治疗骨盆前环不稳定骨折的系统评价[J].湖北医药学院学报,2016,35(02):165-169+181+231.
[10]张彦龙.骨盆前方皮下内固定架治疗不稳定骨盆骨折[J].中华创伤杂志,2015,31(9):828-832.
[11]黄光平.C形臂X线透视下经皮空心螺钉微创内固定治疗骨盆前后环骨折[J].中国骨伤,2014,27(4):345-348.
[12]陈超,于利.微创内固定治疗骨盆前环骨折研究进展[J].中国医师进修杂志,2014,37(14):73-75.
[13]骆琦,肖文芝,陈涌,等.内镜辅助下颧弓骨折切开复位内固定治疗的临床研究[J].华西口腔医学杂志,2016,34(2):166-168.
[14]饶志涛.经骨盆前环皮下钢板内固定治疗骨盆前环骨折[J].中国矫形外科杂志,2014,22(3):277-280.
[15]田维,刘兆杰,王宏川,等.微创内固定治疗骨盆前环损伤[J].中华骨科杂志,2018,38(5):264-271.
[16]唐春晖,唐旭东,罗伟.髂腹股沟微创小切口在骨盆前环损伤中的应用[J].中国骨伤,2013,26(11):952-955.
[17]高嘉锴,贾帅军,袁志,等.2D导航辅助经皮骶髂螺钉治疗骨盆后环骨折经验分析[J].现代生物医学进展,2016,16(19):3668-3672.