耻骨联合分离的研究进展  

Research progress of pubic symphysis diastasis

作　　者：陈志广 李强[2] 刘瑞[2] 郭浩 唐佩福 陈华[1,3] CHEN Zhiguang;LI Qiang;LIU Rui;GUO Hao;TANG Peifu;CHEN Hua(First Clinical Medical College,Inner Mongolia Medical University,Hohhot Inner Mongolia,010000,P.R.China;Department of Orthopaedic Surgery,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia,010000,P.R.China;Department of Orthopaedic Surgery,the Fourth Medical Center of Chinese PLA General Hospital,Beijing,100048,P.R.China;The Second Surgical Department,Beijing Municipal Corps Hospital of Chinese People’s Armed Police Force,Beijing,100027,P.R.China)

机构地区：[1]内蒙古医科大学第一临床医学院,呼和浩特010000 [2]内蒙古医科大学附属医院骨科,呼和浩特010000 [3]中国人民解放军总医院第四医学中心骨科医学部,北京100048 [4]武警北京市总队医院外二科,北京100027

出　　处：《中国修复重建外科杂志》2023年第12期1541-1547,共7页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：军队医学科技青年培育计划(拔尖)项目(21QNPY131);科技创新2030-新一代人工智能重大项目(2021ZD0140410);北京市自然科学基金资助项目(L222061)。

摘　　要：目的对耻骨联合分离的研究进展进行综述,为骨科医师诊治耻骨联合分离提供有效参考。方法查阅近年来国内外耻骨联合分离的相关研究文献,就解剖、损伤机制、治疗方式等方面进行总结与分析。结果耻骨联合分离是因外力导致耻骨联合周围的韧带及纤维软骨盘损伤进而产生的移位,其发生率在骨盆骨折中占比较高。治疗方案应根据骨盆稳定性、患者需求等个性化选择,旨在恢复骨盆稳定性及完整性,改善患者术后生活质量。结论目前对耻骨联合分离的研究仍需完善,未来高质量、多中心、大样本研究对耻骨联合分离患者治疗方式的选择及疗效评估具有重要意义。Objective To review the research progress of pubic symphysis diastasis and provide effective reference for orthopedic surgeons in the diagnosis and treatment of pubic symphysis diastasis.Methods The anatomy,injury mechanism,treatment,and other aspects of pubic symphysis diastasis were summarized and analyzed by reviewing the relevant research literature at domestically and internationally in recent years.Results The incidence of pubic symphysis diastasis is high in pelvic fractures,which is caused by the injury of the ligaments and fibrocartilage disc around the pubic symphysis by external force.The treatment plan should be individualized according to the pelvic stability and the needs of patients,aiming to restore the stability and integrity of the pelvis and improve the quality of life of patients after surgery.Conclusion At present,the research on pubic symphysis diastasis still needs to be improved.In the future,high-quality,multi-center,and large-sample studies are of great significance for the selection of treatment methods and the evaluation of effectiveness for patients with pubic symphysis diastasis.

关 键 词：耻骨联合分离 损伤分型 骨盆骨折 

分 类 号：R683.3[医药卫生—骨科学]