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妇女的不稳定骨盆骨折:对产科结局的影响
Amit Davidson1, Vasileios P Giannoudis2, Georgios Kotsarinis2
1Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Clarendon Wing, Floor D, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK. amitedavidson@gmail.com.
International orthopaedics
|September 14, 2023
概括
在骨盆骨折手术后的放射测量不能预测分娩方法. 许多患有骨盆损伤的妇女在未经并发症的阴道分娩时保留了手术硬件,这表明在分娩前可能不需要去除金属.
科学领域:
- 整形外科手术 整形外科手术
- 产科 产科 产科 产科 产科
- 创伤护理的护理人员.
背景情况:
- 需要手术固定的骨盆骨折可能会影响未来的产科结果.
- 有限的数据存在于传递方法和骨盆损伤手术后硬件移除的必要性.
研究的目的:
- 评估术后放射测量 (RMs) 是否可以预测骨盆骨折固定后的分娩方法.
- 为了确定是否需要在分娩前去除手术硬件,在手术治疗骨盆骨折的妇女中.
主要方法:
- 对44名女性患者 (16-45岁) 进行了回顾性研究,这些患者手术治疗了骨盆骨折.
- 分析术后的X光片和CT扫描,以检测RM (骨盆对称,位移,骨盆测量).
- 通过阴道 (VD) 和剖腹产 (CS) 进行分娩的患者之间的RM的比较.
主要成果:
- 在VD和CS组之间没有显著的RM差异.
- 两名RM数量低于最佳的患者在静脉疾病试验后需要紧急CS.
- 11名患者患有无并发性静脉疾病,其中大多数患者保留了关节螺丝,其中一名患有前阴板.
结论:
- 手术后的RM并没有影响手术治疗骨盆骨折的女性的分娩方法.
- 显著的比例的妇女实现了不复杂的阴道分娩与保留的硬件.
- 需要对更大的队列进行进一步的研究来证实这些发现.
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