骨盆地震伤的影像学检查
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摘要
目的:探讨骨盆地震伤的影像学检查价值。方法:回顾性分析16例骨盆地震伤的影像学及临床资料,16例患者均行X线平片检查,8例行CT检查,2例行MRI检查。结果:16例骨盆地震伤患者经影像学检查均能明确诊断,单发性骨折9例,多发性骨折7例。耻骨骨折13例,髋臼骨折4例,骼骨翼骨折2例,骶椎骨折1例。骶髂关节脱位3例,髂关节脱位2例,耻骨联合分离1例,骶髂关节分离1例。结论:影像学检查有利于骨盆地震伤的及时准确诊断和治疗方式的选择。
Objective To explore the clinical value of imaging examination of the pelvic injury in earthquake.Methods Sixteen cases of the pelvic injury in earthquake with clinical and imaging data were analyzed retrospectively.All of the cases were performed X-ray plain film examination,CT in 8 cases and MRI in 2 cases.Results Imaging examination can establish definitive diagnosis in all cases.In the 16 cases,the single-level fracture was found in 9 cases,multiple-level fracture in 7 cases.The fracture of pubis was found in 13 cases,fracture of acetabulum in 4 cases,fracture of iliac ala in 2 case,and fracture of sacral vertebra in 1 case,sacroiliac dearticulation in 2 cases,diastasis of the symphysis pubis in 1 case,and diastasis of the articulatio sacroiliaca in 1 cases.Conclusion Imaging examination is the most valuable examination method in diagnosis of the pelvic injury in earthquake,and it can not only make definitive diagnosis,but also play an important role in selection of therapeutic planning.
Objective To explore the clinical value of imaging examination of the pelvic injury in earthquake.Methods Sixteen cases of the pelvic injury in earthquake with clinical and imaging data were analyzed retrospectively.All of the cases were performed X-ray plain film examination,CT in 8 cases and MRI in 2 cases.Results Imaging examination can establish definitive diagnosis in all cases.In the 16 cases,the single-level fracture was found in 9 cases,multiple-level fracture in 7 cases.The fracture of pubis was found in 13 cases,fracture of acetabulum in 4 cases,fracture of iliac ala in 2 case,and fracture of sacral vertebra in 1 case,sacroiliac dearticulation in 2 cases,diastasis of the symphysis pubis in 1 case,and diastasis of the articulatio sacroiliaca in 1 cases.Conclusion Imaging examination is the most valuable examination method in diagnosis of the pelvic injury in earthquake,and it can not only make definitive diagnosis,but also play an important role in selection of therapeutic planning.
引文
[1]刘庆,侯世科,郑静晨,等.援外地震救援中流动医院危重患者救治分析[J].武警医学,2006,17(10):786-788.
[2]Campbell S E,Fajardo R S.Imaging of stress injuries of the pelvis[J].Semin Musculoskelet Radiol,2008,12(1):62-71.
[3]Duane T M,Dechert T,Wolfe L G,et al.Clinical examination is su-perior to plain films to diagnose pelvic fractures comparedto CT[J].Am Surg,2008,74(6):476-480.
[4]Snedeker J G,Walz F H,Muser M H,et al.Microstructural insight into pedestrian pelvic fracture as assessed by high-resolution com-puted tomography[J].J Biomech.2006,39(14):2709-2713.
[5]戚跃勇,陈轶,陈林,等.腰椎峡部裂MSCT双倾斜重建技术的诊断价值[J].医学影像学杂志,2007,17(9):967-970.
[2]Campbell S E,Fajardo R S.Imaging of stress injuries of the pelvis[J].Semin Musculoskelet Radiol,2008,12(1):62-71.
[3]Duane T M,Dechert T,Wolfe L G,et al.Clinical examination is su-perior to plain films to diagnose pelvic fractures comparedto CT[J].Am Surg,2008,74(6):476-480.
[4]Snedeker J G,Walz F H,Muser M H,et al.Microstructural insight into pedestrian pelvic fracture as assessed by high-resolution com-puted tomography[J].J Biomech.2006,39(14):2709-2713.
[5]戚跃勇,陈轶,陈林,等.腰椎峡部裂MSCT双倾斜重建技术的诊断价值[J].医学影像学杂志,2007,17(9):967-970.
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