骨盆骨折分型方法的演变

Advances in pelvic fracture classifications

  • 摘要: 骨盆骨折是创伤骨科中最复杂的骨折,多由车祸伤和高处坠落伤所致,其治疗难度随骨折的严重程度而增加。骨盆骨折正确治疗的第一步是准确的初步诊断,而初步诊断的准确性主要体现在对骨盆骨折的正确分型。迄今为止,学者们提出的骨盆骨折分型多达数十种,不同分型的理论依据和适用范围也有所差异,至今仍没有一套分型系统能代表或涵盖骨盆骨折的所有信息。随着医学理念和科学技术的发展,目前仍有新的分型被不断提出。本文拟对现有的骨盆骨折分型系统作一综述。

     

    Abstract: Pelvic fracture is one of the most challenging fractures for orthopaedic and trauma surgeons, mechanisms of injury mainly include motor vehicle collisions and falls from a great height. Because of the involvement of multiple mechanisms, complex pelvic fractures are difficult to be treated. Precise tentative diagnosis is the basis of the correct treatment for pelvic fractures and it also plays a significant role in the further treatment plan. Up to now, dozens of pelvic fracture classifications have been set up with different bases and applying conditions, still there has no such kind of classification that can fully reflect and account for all the information about pelvic fracture. As the development of science and medical concepts, some new classifications continue to be set up constantly. Following is a review of the present pelvic fracture classifications established in different periods.

     

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