旧的骨盆损伤的手术治疗
M Ankin1, T Petryk1, I Zazirnyi2
11Kyiv Regional Hospital, National University of Health Service, Ukraine.
Georgian medical news
|July 7, 2023
概括
慢性骨盆损伤的手术重建改善了患者的治疗结果,56.4%的患者获得了优秀或良好的结果. 这种治疗改善了大多数患有复杂骨盆骨折的患者的健康和功能.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 放射学 放射学是一门学科.
背景情况:
- 慢性盆腔损伤带来复杂的治疗挑战.
- 分析了以前的治疗方法,如保守稳定,外部固定或未成功的内部固定.
- 患有未整合,不整合或伪关节炎的骨盆病变的患者需要先进的手术干预.
研究的目的:
- 为了评估慢性骨盆骨折的外科重建的疗效.
- 评估与手术治疗相关的功能结果和并发症率.
- 确定手术干预对患者健康和生活质量的影响.
主要方法:
- 在2010-2019年期间治疗的43名患有慢性骨盆损伤的患者的回顾性分析.
- 使用AO和Pohlemann系统进行伤害分类;使用CT扫描进行术前规划.
- 使用Majeet系统评估功能结果;分析长期结果.
主要成果:
- 在88.4%的外科手术中实现了解剖或令人满意的缩小.
- 在56.4%的手术后患者中报告了优秀和良好的结果.
- 在定性健康 (74.4%) 和功能评分 (24-46分) 中观察到显著改善.
结论:
- 慢性骨盆骨折的手术治疗提供了显著的功能和健康改善.
- 重建是有效的未巩固的,不统一的,和伪关节炎的盆腔病变.
- 虽然发生了伤口炎症等并发症,但整体结果是积极的.
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