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目的:观察中西医结合治疗不稳定型骨盆骨折的临床疗效。方法:对21例不稳定型骨盆骨折患者采用髂腹股沟入路、Kocher-Langenbeck入路或前后联合入路进行切开复位内固定术治疗,术后早期功能锻炼配合中药治疗。结果:所有患者均进行5～36月随访,经X线或CT检查见骨折愈合,骨折愈合平均时间(4.2±0.5)月。骨折复位达解剖复位11例,复位满意8例,复位不良2例,复位满意度90.5%。术后功能评级无痛、行走活动正常者13例,有疼痛、无跛行者5例,跛行但不需扶拐者3例,无严重不能行走患者,优良率达85.7%。结论:中西医结合治疗不稳定型骨盆骨折疗效满意。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in treatment of unstable pelvic fracture. Methods: Twenty-one patients with unstable pelvic fracture underwent open reduction and internal fixation with the approach of ilio-inguinal approach, Kocher-Langenbeck approach or combined anterior approach and posterior approach. Early postoperative functional exercise combined with traditional Chinese medicine treatment. Results: All patients were followed up for 5 to 36 months. Fracture healing was observed by X-ray or CT. The average time of fracture healing was (4.2 ± 0.5) months. Fracture reduction reached anatomic reduction in 11 cases, satisfactory reduction in 8 cases, poor reset in 2 cases, 90.5% satisfaction reduction. Postoperative functional rating painless, walking in 13 cases were normal, with pain, no claudication in 5 cases, limp, but no need to be abducted in 3 cases, no serious patients can not walk, excellent and good rate of 85.7%. Conclusion: Integrative treatment of unstable pelvic fractures with satisfactory results.