四川大学学报（医学版）2017，Vol.48Issue(5)：668-672,5.
计算机导航辅助下经皮骶髂螺钉与骶髂关节前路钢板内固定治疗骨盆Tile C1型骨折疗效对比分析
Efficacy of Sacroiliac Joint Anterior Approach with Double Reconstruction Plate and Computer Assisted Navigation Percutaneous Sacroiliac Screw for Treating Tile C1 Pelvic Fractures
摘要
Abstract
Objective To compare the efficacy of sacroiliac joint anterior approach with double reconstruction plate and computer assisted navigation percutaneous sacroiliac screw for treating Tile C1 pelvic fractures.Methods Fifty patients with pelvic Tile C1 fractures were randomly divided into two groups (n =25 for each) in the orthopedic department of West China Hospital of Sichuan University from December 2012 to November 2014.Patients in group A were treated by sacroiliac joint dislocation with anterior plate fixation.Patients in group B were treated with computerized navigation for percutaneous sacroiliac screw.The operation duration,intraoperative blood loss,incision length,and postoperative complications (nausea,vomiting,pulmonary infection,wound complications,etc.) were compared between the two groups.The postoperative fracture healing time,postoperative patient satisfaction,and postoperative fractures MATTA scores (to evaluate fracture reduction),postoperative MAJEED function scores,and SF-36 scores of the patients were also recorded and compared.Results No significant differences in baseline characteristics were found between the two groups of patients.All of the patients in both groups had their operations successfully completed.Patients in group B had significantly shorter operations and lower intraoperative blood loss,incision length and postoperative complications than those in group A (P＜0.05).Patients in group B also had higher levels of satisfaction than those in group A (P＜0.05).No significant differences were found between the two groups in postoperative follow-up time,fracture healing time,postoperative MATTA scores,postoperative MAJEED function scores and SF-36 scores (P＞0.05).Conclusion Sacroiliac joint anterior approach with double reconstruction plate and computer assisted navigation percutaneous sacroiliac screws are both effective for treating Tile C1-type pelvic fractures,with similar long-term efficacies.However,computer assisted navigation percutaneous sacroiliac screw has the advantages of less trauma,less bleeding,and quicker recovery.关键词
骨盆骨折/Tile C1型/经皮骶髂螺钉/双钢板/计算机导航Key words
Pelvic fracture/Tile C1 type/Percutaneous sacroiliac screw/Double steel plate/Computer navigation引用本文复制引用
谭振,方跃,张晖,刘雷,项舟,钟刚,黄富国,王光林..计算机导航辅助下经皮骶髂螺钉与骶髂关节前路钢板内固定治疗骨盆Tile C1型骨折疗效对比分析[J].四川大学学报（医学版）,2017,48(5):668-672,5.基金项目
四川省科技厅科技支撑计划项目(No.2013FZ0066)、四川省卫生和计生委员会普及应用项目(No.17PJ128)和广安市2016年创新基金项目资助 （No.2013FZ0066）
