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骨盆骨折导致阴道损伤

[Fractures of the pelvis causing vaginal wound].

作者信息

M Bra Kouamé Innocent, Kouassi Kouamé Jean Eric, Sery Bada Justin Leopold Niaore, Yao Loukou Blaise, Kouassi Aya Adélaïde Natacha, Asséré Yao Aboh Ganyn Robert Arnaud, Ochou Pierre Germain Jr, Akobé Régis, Krah Koffi Léopold, Kodo Michel

机构信息

Service d´Orthopédie et de Traumatologie du CHU de Bouaké, Bouaké, Côte d´Ivoire.

出版信息

Pan Afr Med J. 2021 Jan 21;38:70. doi: 10.11604/pamj.2021.38.70.22402. eCollection 2021.

Abstract

Pelvic fractures occur most often in people experiencing a traumatic event. Although they are due to high-velocity injuries, these lesions are rarely associated with vaginal wounds, and data on patients' evolution are scarce. The purpose of our study was to describe anatomoclinic lesions, treatment and progression of these lesions. The study involved five female patients who had had vaginal wounds due to pelvic fracture over the past decade. The patients had a mean age of 23,6 years. Vaginal wounds were mainly due to road accidents. Two patients had linear wounds and three had lacerated wounds. Vaginal suture was performed in all patients. After a mean follow-up period of 2 years, patients' evolution was favorable with healing of vaginal wound and bone. Genital and obstetric functions were not compromised. Although vaginal wounds most often go unnoticed, they should be suspected in female patients with pelvic fracture.

摘要

骨盆骨折最常发生于经历创伤事件的人群。尽管它们是由高速损伤所致,但这些损伤很少与阴道伤口相关,且关于患者病情演变的数据稀少。我们研究的目的是描述这些损伤的解剖临床病变、治疗及病情进展。该研究纳入了过去十年间因骨盆骨折导致阴道伤口的五名女性患者。患者的平均年龄为23.6岁。阴道伤口主要由道路交通事故所致。两名患者有线性伤口,三名患者有撕裂伤。所有患者均进行了阴道缝合。经过平均2年的随访期,患者病情演变良好,阴道伤口和骨折均愈合。生殖和产科功能未受影响。尽管阴道伤口大多未被注意到,但对于骨盆骨折的女性患者应怀疑有阴道伤口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c7/8028363/7c7f7039dd05/PAMJ-38-70-g001.jpg

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