在骨盆骨折固定后,骨科螺丝拖延迁移到膀
Carly R Ulrich1, Barry A Ndeh2, Ryan H Fitzwater1
1Department of Urology, Charleston Area Medical Center, Charleston, West Virginia, United States of America.
Trauma case reports
|February 3, 2026
概括
骨科螺丝迁移到膀是骨盆骨折手术后的罕见并发症. 这一案例突出了延迟的呈现,需要移除硬件和修复膀.
科学领域:
- 整形外科手术 整形外科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 创伤外科 手术 创伤外科
背景情况:
- 骨盆骨折往往需要手术固定,阴部交错管开放缩小内部固定 (ORIF) 是一个常见的程序.
- 术后并发症虽然很少见,但可能包括硬件迁移,可能导致泌尿器科问题.
- 这些并发症的延迟呈现需要仔细的诊断评估和管理策略.
研究的目的:
- 报告一个在骨盆骨折固定后,骨科螺丝拖延迁移到膀的病例.
- 讨论这种罕见并发症的诊断挑战和管理考虑.
- 强调在阴茎交融后调查新的尿路症状的重要性 ORIF.
主要方法:
- 一名61岁的男性患者患有3型骨盆骨折,他接受了阴部交的ORIF和关节的穿皮螺丝固定.
- 术后6个月,该患者出现了盆腔疼痛,血和反复发作的尿路感染.
- 诊断工作包括成像和囊镜检查,随后是手术硬件摘除,膀修复和神经关节切除.
主要成果:
- 图像检测显示出一个迁移的阴部交融螺丝与膀参与.
- 囊镜检查证实了螺丝是膀内的异物.
- 手术成功切除了硬件,修复了膀,稳定了关节,导致无故障的恢复.
结论:
- 自发的骨科螺丝迁移到膀可以发生在骨盆骨折修复后的延迟并发症.
- 尿路症状,如出血和反复的尿路感染,需要对静脉内硬件进行彻底的调查.
- 及时诊断和手术管理,包括硬件切除和膀修复,对于有利的结果至关重要.
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