摘要
目的总结骨盆环损伤合并髋臼骨折治疗的研究进展。方法在中国知网、万方数据库、PubMed、Web of Science等中、英文数据库中检索2023年7月之前发表的骨盆环损伤合并髋臼骨折的相关文献,共检索到文献105篇,通过筛查最终纳入25篇文献进行总结,重点分析此类合并损伤的定义、骨折分型、危险度等临床特点以及治疗策略。结果骨盆环损伤合并髋臼骨折目前尚无统一的定义,骨盆前后挤压型损伤和侧方压缩型损伤的发生率相似,横形骨折是最常见的髋臼骨折类型,患者的受伤机制复杂,危险度高。骨盆环损伤合并髋臼骨折患者应尽早手术,不同的骨折类型往往需采取不同的复位方式及复位顺序。结论骨盆环损伤合并髋臼骨折患者术前需仔细评估患者的生理状态、骨折分型及移位程度,尚无特定的治疗顺序,需个体化制定治疗策略,从而改善患者预后。
Objective This study aims to summarize the research progress on the treatment of pelvic ring injury combined with acetabular fracture.Methods Literature on pelvic ring injury combined with acetabular fracture at home and abroad before July 2023,was searched in CNKI.cn,Wanfang Database,PubMed,Web of Science,and other Chinese and English databases.A total of 105 literature was retrieved,of which 25 was finally included through screening for analysis and summary.The clinical characteristics(including definition,fracture classification,and risk)and treatment strategies of these injuries were summarized and analyzed.Results At present,pelvic ring injury combined with acetabular fracture has no unified definition.The incidence of anteroposterior compression injury and lateral compression injury is similar.Transverse fracture is the most common type of acetabular fracture.The injury mechanism of patients is complex,and the risk is high.Patients with pelvic ring injury combined with acetabular fracture should be operated as early as possible.different fracture types often require different reduction methods and reduction sequences.Conclusion The physiological status,fracture type,and displacement of patients with pelvic ring injury complicated with acetabular fracture need to be carefully evaluated before surgery.No specific treatment order is available,and individual treatment strategies need to be formulated to improve the prognosis of patients.
作者
吴敏
李仁杰
官建中
Wu Min;Li Renjie;Guan Jianzhong(Department of Orthopaedics,the First Affiliated Hospital of Bengbu Medical University/Laboratory of Tissue and Transplant in Anhui Province,Bengbu 233004,China)
出处
《中华解剖与临床杂志》
2024年第1期69-72,共4页
Chinese Journal of Anatomy and Clinics
关键词
骨盆骨折
髋臼骨折
合并损伤
Pelvic fracture
Acetabular fracture
Combined injury
