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骨盆环损伤:诊断与治疗的最新进展

Pelvic ring injuries: recent advances in diagnosis and treatment.

作者信息

de Ridder Victor A, Whiting Paul S, Balogh Zsolt J, Mir Hassan R, Schultz Blake J, Routt Milton Chip

机构信息

Trauma and Pediatric Trauma, University of Utrecht, The Netherlands.

Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, WI.

出版信息

OTA Int. 2023 Jun 16;6(3 Suppl):e261. doi: 10.1097/OI9.0000000000000261. eCollection 2023 Jun.

Abstract

Pelvic ring injuries typically occur from high-energy trauma and are often associated with multisystem injuries. Prompt diagnosis of pelvic ring injuries is essential, and timely initial management is critical in the early resuscitation of polytraumatized patients. Definitive management of pelvic ring injuries continues to be a topic of much debate in the trauma community. Recent studies continue to inform our understanding of static and dynamic pelvic ring stability. Furthermore, literature investigating radiographic and clinical outcomes after nonoperative and operative management will help guide trauma surgeons select the most appropriate treatment of patients with these injuries.

摘要

骨盆环损伤通常由高能量创伤引起,且常伴有多系统损伤。及时诊断骨盆环损伤至关重要,在多发伤患者的早期复苏中,及时的初始处理也很关键。骨盆环损伤的确定性治疗仍是创伤领域备受争议的话题。近期的研究不断加深我们对骨盆环静态和动态稳定性的理解。此外,关于非手术和手术治疗后影像学及临床结果的文献将有助于指导创伤外科医生为这些损伤患者选择最合适的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d157/10392441/b6163e8ebea2/oi9-6-e261-g001.jpg

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