摘要
不稳定性骨盆骨折多因巨大暴力直接作用于骨盆所致,常合并有休克、腹盆腔脏器及泌尿生殖道损伤。采取非手术疗法治疗的并发症较多,而开放内固定手术又存在创伤大、出血多、风险高等缺点。随着影像学设备的发展和骨科手术技术的不断改进,采用微创技术治疗骨盆骨折已逐渐应用于临床,如经皮采用外固定支架、骶髂螺钉或钢板等微创内固定方法治疗不同类型骨盆骨折的临床疗效已渐显优势。
Unstable pelvic fractures are mostly caused by the enormous violence which act directly on the pelvis, often associated with shock, abdominal and pelvic organs, and genitourinary tract injury. Non-surgical treatment will cause more complications, while open internal fixation has the demerits of maximal trauma, much bleeding and high-risk. With continuous improvement of imaging and orthopedic operation technology, minimally invasive surgery has been gradually applied to treat pelvic fracture. To different types of pelvic frac- ture, the advantages in clinical efficacy of the corresponding minimally invasive fixations have been gradually shown, such as percutaneous frame of external fixation, sacroiliac screw or steel plate etc..
出处
《医学综述》
2013年第1期113-116,共4页
Medical Recapitulate
关键词
不稳定骨盆骨折
骨盆环
生物力学
内固定
外固定
Unstable pelvic fractures
Pelvic ring
Biomechanics
Internal fixation
External fixation
