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[骨盆环损伤]

[Pelvic ring injuries].

作者信息

Heller M, Blanke J, Draijer F, Brossmann J, Egbers H J, Havemann D

机构信息

Klinik für Radiologische Diagnostik, Christian-Albrechts-Universität zu Kiel.

出版信息

Radiologe. 1998 Aug;38(8):702-9. doi: 10.1007/s001170050411.

Abstract

PURPOSE

Analysis of the trauma patient of fractures of the pelvic ring and classification according to AO/Tile.

METHODS

125 unselected patients (43 females, 82 males) were evaluated retrospectively by conventional x-ray, and CT examinations included follow-studies.

RESULTS

Type-A fractures were seen in 36 (29%), Type-B fractures in 58 (46%), and Type-C fractures in 31 (25%) cases. Type-B and Type-C fractures mainly occurred in patients with traffic accidents and falls from great height. Type-A fractures were seen most often in patients with accidents at home or at work. However, in patients with complex fractures a classification concerning Type-B or Type-C fractures was difficult.

SUMMARY

Based on CT criterias, in most patients a statement concerning the applied forces, the stability of the pelvic rim and the fracture type can be made.

摘要

目的

分析骨盆环骨折的创伤患者并根据AO/Tile分类法进行分类。

方法

对125例未经挑选的患者(43例女性,82例男性)进行回顾性评估,采用传统X线检查,并进行包括随访研究的CT检查。

结果

36例(29%)为A型骨折,58例(46%)为B型骨折,31例(25%)为C型骨折。B型和C型骨折主要发生在交通事故和高处坠落的患者中。A型骨折最常见于在家中或工作时发生事故的患者。然而,对于复杂骨折的患者,B型或C型骨折的分类很困难。

总结

基于CT标准,在大多数患者中可以对作用力、骨盆边缘的稳定性和骨折类型做出判断。

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