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ENGLISH ABSTRACT
骨盆骨折微创复位技术的研究进展
贺杰
赵晶鑫
曹文豪
陈志广
齐红哲
郭浩
祁麟
李嘉琦
陈华
唐佩福
作者及单位信息
·
DOI： 10.3760/cma.j.cn115530-20240708-00286
Advances in minimally invasive reduction of pelvic fractures
He Jie
Zhao Jingxin
Cao Wenhao
Chen Zhiguang
Qi Hongzhe
Guo Hao
Qi Lin
Li Jiaqi
Chen Hua
Tang Peifu
Authors Info & Affiliations
He Jie
Chinese PLA General Hospital Medical School, Beijing 100853, China
Zhao Jingxin
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Cao Wenhao
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Chen Zhiguang
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Qi Hongzhe
Chinese PLA General Hospital Medical School, Beijing 100853, China
Guo Hao
Chinese PLA General Hospital Medical School, Beijing 100853, China
Qi Lin
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Li Jiaqi
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Chen Hua
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
Tang Peifu
Department of Orthopaedic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
·
DOI： 10.3760/cma.j.cn115530-20240708-00286
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摘要

骨盆骨折的传统手术为切开复位内固定术，其术中出血量多、创伤大，手术风险高。随着影像学技术及各种辅助手术工具的快速发展，微创手术逐渐成为骨盆骨折的主要治疗方式。复位质量是骨盆骨折临床预后的基础，因此如何提升复位质量是骨盆骨折微创手术的关键。随着3D打印技术、智能化骨科手术机器人、混合现实增强技术及高精度光学定位追踪技术等在骨科领域的应用，将这些先进技术与工具应用于骨盆骨折微创复位一直是本领域的研究热点，部分研究成果已取得良好疗效。本研究通过回顾相关文献，主要从骨盆骨折的评估与测量、切开复位技术、微创闭合复位技术及手术机器人辅助复位技术等方面，围绕骨盆骨折微创闭合复位技术的研究进展做一综述。

骨盆;骨折;外科手术，微创性;复位技术
ABSTRACT

Conventional surgical management of pelvic fractures entails incision and reduction with internal fixation, a procedure associated with significant bleeding, trauma, and a high surgical risk. The advent of advanced imaging techniques and sophisticated surgical instruments has led to a paradigm shift towards minimally invasive surgery as the prevailing treatment modality for such injuries. The efficacy of reduction is pivotal in determining the clinical prognosis of pelvic fractures, underscoring the importance of enhancing the quality of reduction in the minimally invasive surgery. The advent of 3D printing technology, intelligent orthopaedic surgical robots, mixed reality augmentation technology and high-precision optical localization tracking has catapulted minimally invasive pelvic fracture reduction to the forefront of research in the field of orthopaedics. Studies have demonstrated encouraging outcomes. This paper reviews relevant literature, mainly focusing on the evaluation and measurement, open reduction techniques, minimally invasive closed reduction techniques, and surgical robot assisted reduction techniques in treatment of pelvic fractures, to summarize the technical research progress in minimally invasive closed surgical reduction for pelvic fractures.

Pelvis;Fractures, bone;Surgical procedures, minimally invasive;Reduction technique
Chen Hua, Email: mocdef.6ab210720auhnehc
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引用本文

贺杰,赵晶鑫,曹文豪,等. 骨盆骨折微创复位技术的研究进展[J]. 中华创伤骨科杂志,2025,27(03)：270-276.

DOI:10.3760/cma.j.cn115530-20240708-00286

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随着社会的发展、机动交通工具的普及及人口统计结构的变化等，骨盆骨折的发病率逐年上升。骨盆骨折常伴膀胱、直肠和重要神经、血管等损伤，致死率和致残率均较高 [ 1 , 2 ]。与四肢骨折相比，骨盆骨折的受伤机制复杂，损伤部位深，骨折类型多，因此具有手术治疗难度大、风险高等特点，一直是创伤骨科领域的难点 [ 3 ]。
近年来，随着影像学技术、辅助复位工具、骨科机器人及人工智能在骨科领域中的应用及革新 [ 4 ]，骨盆骨折的治疗方式从保守治疗、手术治疗逐步发展为微创手术治疗 [ 5 ]。如何进行良好的骨折复位是有效固定的前提，因此骨盆骨折微创闭合复位技术一直是国内外创伤骨科团队研究的热点。本研究主要从骨盆骨折的评估与测量、切开复位技术、微创闭合复位技术及手术机器人辅助复位技术等方面，围绕骨盆骨折微创闭合复位技术的研究进展做一综述。
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