[1]沈二栋,庄岩,周凤金,等.骨盆机能不全骨折的诊治[J].中华老年骨科与康复电子杂志,2025,(04):251-256.[doi:10.3877/cma.j.issn.2096-0263.2025.04.009]
　Shen Erdong,Zhuang Yan,Zhou Fengjin,et al.Diagnosis and treatment of pelvic insufficiency fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2025,(04):251-256.[doi:10.3877/cma.j.issn.2096-0263.2025.04.009]
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骨盆机能不全骨折的诊治()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2025年04
页码:
251-256
栏目:
综述
出版日期:
2025-08-05

文章信息/Info

Title:
Diagnosis and treatment of pelvic insufficiency fractures
作者:
沈二栋1; 庄岩2; 周凤金2; 雷金来2; 张堃2
710068 西安医学院1；710054 西安交通大学医学院附属红会医院创伤骨科2
Author(s):
Shen Erdong1;  Zhuang Yan2;  Zhou Fengjin2;  Lei Jinlai2;  Zhang Kun2.
1Xi’an Medical University, Xi’an 710068, China; 2Department of Orthopaedic Trauma, Honghui Hospital, Affiliated to Xi’an Jiaotong University, Xi’an 710054, China
关键词:
骨盆;  机能不全骨折;  骨质疏松;  骶髂螺钉;  骶骨成形术
Keywords:
Pelvis;  Insufficiency fractures;  Osteoporosis;  Iliosacral screw;  Sacroplasty
DOI:
10.3877/cma.j.issn.2096-0263.2025.04.009
文献标志码:
A
摘要:
骨盆机能不全骨折是正常应力或轻微外伤作用在骨质弱化的骨盆上，而引起的非特异性的腰骶部和/或臀部疼痛并影响活动功能，且影像学变化较为细微的一类特殊的骨盆骨折。随着老龄社会加剧，骨盆机能不全骨折的发生率越来越高。常见的病因有骨质疏松症、局部放疗、长期服用皮质类固醇等。但往往因起病隐匿、疼痛部位难以确定而诊断困难。骨盆X线检查多用于筛查及随访，而CT及MRI检查能明确诊断，并有助于治疗方案的选择。早期可采取镇痛、卧床休息、理疗及支具等保守治疗。若效果不佳、疼痛加剧，可用手术治疗干预，如经皮骶髂螺钉固定、骶骨成形术等。本文就近年来有关骨盆机能不全骨折的文献进行系统综述，以期为临床医生诊治骨盆机能不全骨折提供参考。
Abstract:
Pelvic insufficiency fractures (PIF) are a special category of pelvic fractures with normal stress or minor trauma acting on the weakened pelvis, whereas those that cause nonspecific lumbar and/or groin pain, and interfere with ambulation with subtle radiographic imaging changes. With the aggravation of the aging society, the incidence of PIF is increasing. PIF commonly results from osteoporosis ,and may also occur due to radiation and chronic steroid usage. PIF is often misdiagnosed because of its insidious onset without special clinical symptoms. Pelvic X-ray is mostly used for screening and follow-up, whereas CT and MRI can confirm the diagnosis and is helpful to therapy. The conservative treatment of PIF includes analgesics, bed rest, physical therapy and orthoses. Patients who are unresponsive to this management and who have intractable pain are candidates for percutaneous iliosacral screw fixation or sacroplasty. We reviewed the literature on PIF in recent years, in order to provide reference for clinicians in the diagnosis and treatment of PIF.

相似文献/References:

[1]刘曦明,陈龙,汪国栋,等.3D导航下微创空心螺钉内固定治疗中老年Tilt骨盆骨折的疗效观察[J].中华老年骨科与康复电子杂志,2018,(03):151.[doi:10.3877/cma.j.issn.2096-0263.2018.03.006]
　Liu Ximing,Chen Long,Wang Guodong,et al.The clinical efficacy of 3D image-guided minimally invasive screw fixation in the treatment of Tilt pelvic fracture in middle-aged and elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):151.[doi:10.3877/cma.j.issn.2096-0263.2018.03.006]
[2]裴璇,汪国栋,刘曦明.微创治疗骨盆新月形骨折脱位的研究进展[J].中华老年骨科与康复电子杂志,2022,(06):380.[doi:10.3877/cma.j.issn.2096-0263.2022.06.010]
　Pei Xuan,Wang Guodong,Liu Ximing..Research progress in minimally invasive treatment of crescent fracture dislocation of pelvis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(04):380.[doi:10.3877/cma.j.issn.2096-0263.2022.06.010]

备注/Memo

备注/Memo:
基金项目：陕西省科技攻关计划（2019SF-170）；陕西省重点研发计划 一般项目-社会发展领域（2024SF-YBXM-359）
更新日期/Last Update: 2026-04-30