Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1070, USA.
J Orthop Trauma. 2013 May;27(5):e122-4. doi: 10.1097/BOT.0b013e31826046b0.
Obesity can complicate surgical procedures by both adding to difficulty intraoperatively and increasing postoperative complications. Intraoperative imaging can be difficult on morbidly obese patients. We have noted specifically that in morbidly obese patients where the lateral sacrum cannot be visualized on the pre-operative scout computed tomography image, the lateral sacrum will not be able to be seen on intraoperative fluoroscopy. This is an important component of preoperative planning in morbidly obese patients with pelvic ring injuries.
肥胖会增加手术难度并增加术后并发症,从而使手术过程复杂化。病态肥胖患者的术中影像学检查可能较为困难。我们特别注意到,在术前盆腔 CT 扫描图像上无法看到外侧骶骨的病态肥胖患者中,术中透视也无法看到外侧骶骨。对于患有骨盆环损伤的病态肥胖患者,这是术前计划的重要组成部分。