Rommens P, Wissing H, Serdarevic M
Unfallchirurgie. 1987 Feb;13(1):32-7. doi: 10.1007/BF02585829.
Conventional röntgenologic examinations of fifty patients with posttraumatic pelvic bone injuries were compared with computertomographic examinations. The major advantage of computertomography of the pelvis is in our view the more precise evaluation of injuries of the dorsal pelvic ring. Almost fifty percent of the fractures of the sacrum and two thirds of the injuries of the iliosacral joint in our series could not be diagnosed on conventional examinations. Computertomography of fractures of the sacrum and fractures of the acetabulum give us important informations about the extension of the fracture, its dislocation, its degree of instability and accompanying soft tissue injuries. So planning of operative treatment becomes much easier.
对50例创伤后骨盆骨折患者的传统X线检查与计算机断层扫描检查进行了比较。我们认为骨盆计算机断层扫描的主要优势在于能更精确地评估骨盆后环损伤。在我们的系列病例中，近50%的骶骨骨折和三分之二的髂骶关节损伤在传统检查中无法诊断。骶骨骨折和髋臼骨折的计算机断层扫描能为我们提供有关骨折范围、脱位情况、不稳定程度及伴随软组织损伤的重要信息。这样手术治疗的规划就变得容易得多。
