骨盆骨折微创治疗的研究进展  

Research progress on minimally invasive treatment of pelvic fractures

作　　者：林建东 黎创立 贾兆锋 胡新佳[1] LIN Jian-dong;LI Chuang-li;JIA Zhao-feng;HU Xin-jia(The Second Clinical Medical College of Jinan University,Shenzhen,Guangdong,518020,China)

机构地区：[1]暨南大学第二临床医学院,深圳518020

出　　处：《中国骨与关节杂志》2021年第9期665-668,共4页Chinese Journal of Bone and Joint

基　　金：国家自然科学基金青年项目(81902196)。

摘　　要：骨盆骨折的手术治疗方式中,切开复位内固定为目前最常用的治疗方式,现今临床上常用微创手术对骨盆骨折进行治疗,在进行微创手术前往往需要对骨盆进行闭合复位[1-2]。临床上常通过手法复位或外支架牵引复位进行闭合复位。复位效果一般按照 Pastor 等[3]和 Matta[4]的影像学复位标准对其进行评分,优:移位 < 4 mm;良:移位5~10 mm;可:移位 10~20 mm;差:移位 > 20 mm。Pelvic fractures are generally caused by high-energy trauma,accounting for 1%-3% of systemic fractures.In principle,fractures need to be reduced and fixed as early as possible to restore the stability if damage to the anterior or posterior ring is observed.Traditional open reduction and internal fixation is the most classic surgical method,however,it has deficiencies of long operation time,more bleeding,and large surgical trauma.Minimally invasive surgery has obtained good fracture reduction to effectively restore the limb function in recent years,while it requires a longer learning cycle for surgeons.With the development of navigation technology and various reduction tools,minimally invasive surgery has gradually become a treatment trend for pelvic fractures.This article reviews the current progress of minimally invasive surgical treatment of pelvic fractures.

关 键 词：骨盆 骨折 最小侵入性外科手术 综述 

分 类 号：R683.3[医药卫生—骨科学]