经皮固定骨盆环和髋臼损伤技术的研究进展  

Progress of research on percutaneous fixation for the treatment of pelvic ring and acetabular injueies

作　　者：周海波[1] 郭晓山[2] 

机构地区：[1]温州医学院附属第一医院骨科,浙江温州325000 [2]温州医学院附属第二医院骨科

出　　处：《中国骨伤》2010年第9期719-722,共4页China Journal of Orthopaedics and Traumatology

摘　　要：随着术中放射影像和其他技术的发展,经皮固定骨盆环和髋臼骨折成为可能。应用耻骨支髓内螺钉、髂骨翼螺钉及骶髂螺钉经皮固定骨盆环和髋臼骨折,可以减少术中失血和缩短手术时间,避免因切开复位手术所致的其他并发症,允许患者早期功能锻炼。达到稳定安全的经皮固定决定于精确的骨折闭合复位,高质量的术中成像及细致的术前计划。手术医生应掌握骨盆和髋臼解剖特点及可能变异,损伤方式和相关的术中成像技术,才能成功完成经皮固定技术。本文就关于经皮螺钉微创固定骨盆环和髋臼损伤技术的研究进展作一综述。Percutaneous pelvic fixation is possible with the advances in intraoperative fluoroscopic imaging and other technologies.Percutaneously inserted screws in medullary pubic ramus,iliac wing,and iliosacral bone can stabilize pelvic or acetabular disruptions directly mean while can diminish operative blood loss,shorten operative time,and allow patient's early activity.Complications associated with open surgical procedures are similarly avoided by using percutaneous techniques.Stable and safe percutaneous fixation techniques depend on accurate closed reduction,excellent intraoperative fluoroscopic imaging, and detailed preoperative planning.A thorough knowledge of pelvic osseous anatomy,injury patterns,deformities,and the related intraoperative imagery techniques are essential for doctors to fulfill the operation of percutaneous pelvic fixation.This paper presents an overview of the technique of percutaneous surgery of the pelvis and acetabulum.

关 键 词：骨盆 髋臼 创伤和损伤 骨折固定术 内 综述文献 

分 类 号：R683.42[医药卫生—骨科学]