关节骨骨折的上层后肺胸部:这些担忧是有道理的吗?
Abhishek Ganta1, Sara Solasz, Nina Fisher
1From the Department of Orthopedic Surgery, Division of Orthopedic Trauma Surgery, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY (Ganta, Solasz, Fisher, Leucht, Konda, and Egol), and Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY (Konda, and Egol).
概括
中轴骨折的关节骨ORIF手术对圆顶肺造成的风险最小. 手术后的胸部X射线不需要在关节骨骨折修复后检测肺胸 (PTX).
科学领域:
- 整形外科手术 整形外科手术
- 胸部解剖学 胸部解剖学
- 放射学 放射学是指放射学
背景情况:
- 中轴关节骨骨折是常见的伤害.
- 开放式减少和内部固定 (ORIF) 是一种标准的治疗方法.
- 了解关节骨和顶端肺之间的关系对于手术安全至关重要.
研究的目的:
- 定义关节骨和顶端肺部段之间的解剖关系.
- 在关节骨后确定肺胸部 (PTX) 的发生率ORIF.
- 评估术后胸部X射线图对于PTX检测的有用性.
主要方法:
- 对631名接受关节骨ORIF的患者进行了回顾性审查.
- 42名患者的CT扫描测量了关节骨-肺的距离.
- 对所有患者中PTX的术后放射图的分析.
主要成果:
- 从下关节皮层到肺的平均距离有所不同:侧面为60.0毫米,中关节为32.3毫米,中侧为18.0毫米.
- 在631张手术后的X光照中,没有发现任何阳性肺胸 (PTX) 病例.
- 在关节骨ORIF期间顶肺损伤的风险是最小的.
结论:
- 关节骨与顶端肺部段的解剖学近距离具有较低的受伤风险.
- 常规的术后胸部X射线图没有显示排除关节骨骨折后PTX ORIF.
- 手术技术和患者解剖学尽量降低了阳性肺胸病的风险.
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