骨盆创伤中髂动脉栓塞术后的大面积臀肌坏死：文献综述及病例报告
Massive Gluteal Muscle Necrosis after Iliac Arterial Embolization in Pelvic Trauma: A Literature Review and Illustrative Case Report.
作者信息
O'Brien Michelle C, Schell Benjamin A, Lands Harrison, Spanyer Jonathon M, Yakkanti Madhusudhan R
机构信息
University of Cincinnati, Department of Orthopedic Surgery, Cincinnati, Ohio, USA.
University of Texas Southwestern, Department of Orthopedic Surgery, Dallas, Texas, USA.
出版信息
J Orthop Case Rep. 2018 May-Jun;8(3):23-27. doi: 10.13107/jocr.2250-0685.1092.
Abstract
INTRODUCTION
Traumatic pelvic injuries causing retroperitoneal bleeding can be managed with angiographic embolization. This procedure carries a small but potentially devastating risk of gluteal muscle necrosis.
CASE REPORT
An 18-year-old trauma patient suffered from massive gluteal muscle necrosis following angiographic embolization for hemorrhage from pelvic fracture was reported.
CONCLUSION
To limit morbidity and mortality, the orthopedic surgeon should have a high suspicion for gluteal muscle necrosis to allow for early diagnosis and then treatment with decompression and debridement.
摘要
引言
导致腹膜后出血的创伤性骨盆损伤可通过血管造影栓塞术进行治疗。该手术存在小但可能具有毁灭性的臀肌坏死风险。
病例报告
报道了一名18岁的创伤患者，在因骨盆骨折出血进行血管造影栓塞术后发生了大面积臀肌坏死。
结论
为了降低发病率和死亡率，骨科医生应高度怀疑臀肌坏死，以便早期诊断，然后进行减压和清创治疗。
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本文引用的文献
1
Gluteal Soft Tissue Necrosis After Transcatheter Angiographic Embolization for Pelvic Fracture: a Report of Two Cases.
Eur J Trauma Emerg Surg. 2007 Jun;33(3):301-5. doi: 10.1007/s00068-007-6003-2. Epub 2007 May 11.
2
Gluteal necrosis following pelvic fracture and bilateral internal iliac embolization: Reconstruction using a transposition flap based on the lumbar artery perforators.
Int J Surg Case Rep. 2012;3(2):86-8. doi: 10.1016/j.ijscr.2011.11.002. Epub 2011 Nov 18.
3
Selective transcatheter arterial embolization of the internal iliac artery does not cause gluteal necrosis in pelvic trauma patients.
J Orthop Trauma. 2012 May;26(5):290-5. doi: 10.1097/BOT.0b013e31821f9574.
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Transcatheter arterial embolization for pelvic fractures may potentially cause a triad of sequela: gluteal necrosis, rectal necrosis, and lower limb paresis.
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Clinical characteristics of pelvic fracture patients with gluteal necrosis resulting from transcatheter arterial embolization.
Arch Orthop Trauma Surg. 2005 Sep;125(7):448-52. doi: 10.1007/s00402-005-0827-1.
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High incidence of ischemic necrosis of the gluteal muscle after transcatheter angiographic embolization for severe pelvic fracture.
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Gluteal muscle necrosis following transcatheter angiographic embolisation for retroperitoneal haemorrhage associated with pelvic fracture.
Injury. 2001 Jan;32(1):27-32. doi: 10.1016/s0020-1383(00)00098-x.
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