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筋骨骨折的手术治疗

Surgical therapy for sacral fracture
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摘要 目的 探讨骶骨骨折的手术治疗方法。方法 对16例骶骨骨折的患者行切开复位、松质骨螺丝钉内固定术,5例合并骶神经损伤者同时行神经探查。结果 对全部病例随访12~48个月,平均18个月,骨折均为一期愈合,一例坐骨神经损伤未恢复,治愈率达93%。结论 骶骨骨折切开复位内固定可以恢复骶骨的解剖关系,有利于神经损伤的恢复。对伴有神经损伤症状者应同时行神经探查。 Objective To explore the surgical therapy for sacral fracture.Methods 16 cases of sacral fracture were trea- ted in open reduction and cancellous fixation by screws. Sacral nerve probing was performed on five patients associated with nerve injury.Results All the patients got primary healing of fracture after follow-up for mean 1.5 years. One case with sciat- ic nerve injury did not recover. The rate of healing reached 93%. Conclusion Open reduction and internal fixation could lead accurate reduction of the sacral fracture,which could promote the recovery of nerve injury. Nerve probing shoud be taken simultaneously to the patients associated with nerve injury.
作者 张清尧
出处 《脊柱外科杂志》 2004年第4期207-208,共2页 Journal of Spinal Surgery
关键词 骶骨骨折 手术治疗 手术方法 神经损伤 切开复位 内固定 sacral fracture nerve injury internal fixation clinical effect
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参考文献3

  • 1陆裕朴 胥少汀(等).实用骨科学[M].北京:人民军医出版社,1993.804.
  • 2[3]Templeman D, Goulet J, Duwelius PJ, et al. Internal Fixation of Displaced Fracture of the Sacrum [ J]. Clin Orthop, 1996, 329:180 - 185
  • 3吴乃庆,王青,金正帅,王道新.骶骨骨折的手术治疗[J].骨与关节损伤杂志,2002,17(3):186-187. 被引量:23

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