| 刘大栋.骶 2髂骨三皮质螺钉技术在脊柱骨盆稳定重建中的临床应用研究[J].安徽医药,2021,25(1):92-95. |
| 骶 2髂骨三皮质螺钉技术在脊柱骨盆稳定重建中的临床应用研究 |
| Clinical application of S2AI technology in reconstruction of spine and pelvis stability |
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| DOI：10.3969/j.issn.1009?6469.2021.01.023. |
| 中文关键词: 脊柱侧凸 骨重建 脊柱融合术 骨盆 矫形外科固定装置 骨钉 骶骨 髂骨 治疗结果 |
| 英文关键词: Scoliosis Bone remodeling Spinal fusion Pelvis Orthopedic fixation devices Bone nails Sacrum Ilium Treatment outcome |
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| 目的探讨骶 2髂骨三皮质螺钉(S2AI)技术在脊柱骨盆稳定重建中的临床效果。方法选取 2014年 1月至 2017年 5月在周口市中心医院接受脊柱骨盆内固定术治疗 60例，根据治疗方案分为 S2AI组(n＝30)和 IS(髂骨螺钉)组(n＝30)S2AI组给予 S2AI技术治疗， IS组给予髂骨螺钉治疗，观察两组手术情况(手术时间、术中出血量等)、生活质量等。结果 S2AI组和，IS组手术时间、术中出血量、总引流量和住院时间比较差异无统计学意义(P＞0.05)； S2AI组术后 1周和 1年 VAS评分分别为(2.52±0.84)分和(1.41±0.64)分， ODI指数分别为(7.51±1.54)%和(3.00±0.69)%，明显低于 IS组(P＜0.05)； S2AI组术后 1年 SF? 36量表评分为(81.30±9.81)分，明显高于 IS组(P＜0.05)； S2AI组螺钉松动和损伤性螺钉位置不良比例均为 0，明显低于 IS组(P＜0.05)。结论 S2AI技术在脊柱骨盆稳定重建中有较好的临床效果，值得临床使用。 |
| 英文摘要: |
| Objective To investigate the clinical effect of S2 alar?iliac screw(S2AI)technique in stable pelvic spine reconstruc?tion.Methods a total of 60 patients who underwent spinal and pelvic internal fixation in Zhoukou Central hospital from January 2014 to May 2017 were selected，according to the selected treatment plan，the patients were divided into group S2AI(n＝30)and group IS(n＝30)，Group S2AI was given S2AI treatment，and group IS was treated with iliac screw，the operation time，intraopera?tive blood loss，quality of life and other operation conditions of the two groups were observed.Results There was no significant dif?ference in operative time，intraoperative blood loss，total drainage volume and hospital stay between group S2AI and group IS(P＞0.05)； The VAS scores at 1 week and 1 year after operation in group S2AI were(2.52±0.84)and(1.41±0.64)，the ODI index was(7.51±1.54)% and(3.00±0.69)% respectively，which were significantly lower than that in group IS(P＜0.05)； The score of SF?36 scale at years after operation in group S2AI was(81.30±9.81)，which was significantly higher than that in group IS(P＜0.05)； In group S2AI，the ratio of screw loosening and injury screw position were 0.00%，which were significantly lower than that in group IS(P＜0.05).Conclusion S2AI technology has a good clinical effect in stable pelvic spine reconstruction，and is worthy of clinical application. |
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