胫骨平台骨折CT分类的研究  

CT classifications of tibial plateau fractures

作　　者：周智勇[1] 王振海[1] 胡孙君 张世民 Zhou Zhiyong;Wang Zhenhai;Hu Sunjun;Zhang Shimin(Department of Orthopaedics,Yantaishan Hospital,Yantai 264001 Shandong,China;Department of Orthopaedics,Yangpu Hospital of Tongji University,Shanghai 200090,China)

机构地区：[1]山东烟台市烟台山医院骨科,264001 [2]同济大学附属杨浦医院骨科,上海200090

出　　处：《中华创伤骨科杂志》2020年第2期180-184,共5页Chinese Journal of Orthopaedic Trauma

基　　金：国家自然科学基金面上项目(81873989);上海市科委医学引导类项目(17411971400)。

摘　　要：目前,胫骨平台骨折分类包括:胫骨平台骨折三柱分型、胫骨平台骨折四象限分型、胫骨平台骨折八"段"分型和十"段"分型、四柱九段分型等。本文综述胫骨平台骨折各种CT分类的方法、优缺点和手术入路选择。胫骨平台骨折的CT分型的精髓更加注重冠状面骨折线,尤其后方的冠状面骨块。将胫骨平台关节面的四象限分类与胫骨平台周缘皮质的四柱分类相结合,再辅以非关节面结构(髁间棘、胫骨结节、腓骨头),有可能对胫骨平台骨折提供更加完整的描述,但也可能因为配对组合太多,太过繁杂,临床使用困难。Current classifications of tibial plateau fractures include three-pillar classification,four-quadrant classification,eight-segment classification,ten-segment classification,and four-column&nine-segment classification.This article reviews the various CT classifications of tibial plateau fractures,their advantages and disadvantages and surgical approaches as well.The essence of the CT classifications is to pay more attention to the coronary fracture line,especially the posterior coronal fracture fragments.A classification which combines the four-quadrant idea of the articular surface of the tibial plateau with the four-column idea of the peripheral cortex of the tibial plateau,and is supplemented by descriptions of non-articular surface structures(intercondylar spine,tibial tubercle and fibula head),may provide a more comprehensive understanding of a specific tibial plateau fracture,but may therefore be too complicated and difficult to use clinically due to too many combinations that need matching.

关 键 词：胫骨平台 骨折 分型 CT 

分 类 号：R687[医药卫生—骨科学]