ОСОБЕННОСТИ ЛУЧЕВОЙ ДИАГНОСТИКИ ПРИ ПЕРЕЛОМАХ КОСТЕЙ ТАЗА (Обзорная статья)
Ключевые слова:
кости таза, травма; компьютерная томография; внутритазовое кровотечение; травма мочеполовых органов.Аннотация
Переломы тазового кольца часто встречаются при высокоэнергетической тупой травме, особенно при дорожно-транспортных происшествиях. Эти виды травм характеризуются высокой заболеваемостью и смертностью из-за частой нестабильности переломов и связанных с ними внутритазовых сосудистых и висцеральных осложнений. Компьютерная томография (КТ) является золотым стандартом в оценке травм таза, поскольку она позволяет быстро и точно выявить переломы тазового кольца, активное внутритазовое кровотечение и повреждения других систем организма.
Библиографические ссылки
Rüedi TP, Buckley RE, Moran, CG: AO principles of fracture management. Thieme, Sttutgart; 2007.
Baylis TB, Norris BL: Pelvic fractures and the general surgeon. Curr Surg. 2004, 61:30-5. 10.1016/j.cursur.2003.07.017
Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L: Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg. 2002, 195:1-10. 10.1016/s1072- 7515(02)01197-3
Parreira JG, Coimbra R, Rasslan S, Oliveira A, Fregoneze M, Mercadante M: The role of associated injuries on outcome of blunt trauma patients sustaining pelvic fractures. Injury. 2000, 31:677-82. 10.1016/s0020- 1383(00)00074-7
Lange RH, Hansen Jr ST: Pelvic ring disruptions with symphysis pubis diastasis: indications, technique, and limitations of anterior internal fixation. Clin Orthop Relat Res. 1985, 201:130-7. 10.1097/00003086- 198512000-00021
L. Duron, A. Ducarouge, A. Gillibert, J. Lainé, C. Allouche, N. Cherel, Z. Zhang, N. Nitche, E. Lacave, A. Pourchot, A. Felter, L. Lassalle, N.E. Regnard, A. Feydy. Assessment of an AI Aid in Detection of Adult Appendicular Skeletal Fractures by Emergency Physicians and Radiologists: A Multicenter Cross-sectional Diagnostic Study. Radiology, 300 (1) (2021), pp. 120-129. doi: 10.1148 /radiol. 2021203886. Epub 2021 May 4.
A. AlGhaithi, S. Al Maskari. Artificial intelligence application in bone fracture detection. J. Musculoskelet. Surg. Res., 5 (2021), pp. 4-9, 10.4103/jmsr.jmsr_132_20
Gamble, J.G.; Simmons, S.C.; Freedman, M. The symphysis pubis. Anatomic and pathologic considerations. Clin. Orthop. Relat. Res. 1986, 203, 261–272.
Becker, I.; Woodley, S.J.; Stringer, M.D. The adult human pubic symphysis: A systematic review. J. Anat. 2010, 217, 475–487.
Vleeming, A.; Schuenke, M.D.; Masi, A.T.; Carreiro, J.E.; Danneels, L.; Willard, F.H. The sacroiliac joint: An overview of its anatomy, function and potential clinical implications. J. Anat. 2012, 221, 537–567.
Durkin, A.; Sagi, H.C.; Durham, R.; Flint, L. Contemporary management of pelvic fractures. Am. J. Surg. 2006, 192, 211–223.
Stambaugh, L.E., III; Blackmore, C.C. Pelvic ring disruptions in emergency radiology. Eur. J. Radiol. 2003, 48, 71–87.
Khurana, B.; Sheehan, S.E.; Sodickson, A.D.; Weaver, M.J. Pelvic ring fractures: What the orthopedic surgeon wants to know. Radiographics 2014, 34, 1317–1333.
Stahel, P.F.; Hammerberg, E.M. History of pelvic fracture management: A review. World J. Emerg. Surg. 2016, 11, 18.
Daffner, R.H.; Sciulli, R.L. CT-guided iliosacral screw placement. Semin. Musculoskelet Radiol. 2013, 17, 407–415.
Ianniello, S.; di Giacomo, V.; Sessa, B.; Miele, V. First-line sonographic diagnosis of pneumothorax in major trauma: Accuracy of e-FAST and comparison with multidetector computed tomography. Radiol. Med. 2014, 119, 674–680.
Richards, J.R.; McGahan, J.P. Focused assessment with sonography in trauma (FAST) in 2017: What radiologists can learn. Radiology 2017, 283, 30–48.
Ianniello, S.; Piccolo, C.L.; Trinci, M.; Ajmone Cat, C.A.; Miele, V. Extended-FAST plus MDCT in pneumothorax diagnosis of major trauma: Time to revisit ATLS imaging approach? J. Ultrasound 2019, 22, 461–469.
Christian, N.T.; Burlew, C.C.; Moore, E.E.; Geddes, A.E.; Wagenaar, A.E.; Fox, C.J.; Pieracci, F.M. The focused abdominal sonography for trauma examination can reliably identify patients with significant intra-abdominal hemorrhage in life-threatening pelvic fractures. J. Trauma Acute Care Surg. 2018, 84, 924–928.
Chaijareenont, C.; Krutsri, C.; Sumpritpradit, P.; Singhatas, P.; Thampongsa, T.; Lertsithichai, P.; Choikrua, P.; Poprom, N. FAST accuracy in major pelvic fractures for decision-making of abdominal exploration: Systematic review and meta-analysis. Ann. Med. Surg. 2020, 60, 175–181.
Bauman, M.; Marinaro, J.; Tawil, I.; Crandall, C.; Rosenbaum, L.; Paul, I. Ultrasonographic determination of pubic symphyseal widening in trauma: The FAST-PS study. J. Emerg. Med. 2011, 40, 528–533.
Ianniello, S.; Conte, P.; di Serafino, M.; Miele, V.; Trinci, M.; Vallone, G.; Galluzzo, M. Diagnostic accuracy of pubic symphysis ultrasound in the detection of unstable pelvis in polytrauma patients during e-FAST: The value of FAST–PLUS protocol. A preliminary experience. J. Ultrasound 2021, 24, 423–428.
Leone, A.; Galluzzo, M.; Miele, V. Traumi del bacino. In Diagnostica per Immagini nel Trauma Maggiore; Miele, V., Scaglione, M., Grassi, R., Rotondo, A., Eds.; Elsevier Editore: Milano, Italy, 2010; pp. 231–240.
Paydar, S.; Ghaffarpasand, F.; Foroughi, M.; Saberi, A.; Dehghankhalili, M.; Abbasi, H.; Malekpoor, B.; Bananzadeh, A.M.; Vahid Hosseini, M.; Bolandparvaz, S. Role of routine pelvic radiography in initial evaluation of stable, high-energy, blunt trauma patients. Emerg. Med. J. 2013, 30, 724–727.
Resnik, C.S.; Stackhouse, D.J.; Shanmuganathan, K.; Young, J.W. Diagnosis of pelvic fractures in patients with acute pelvic trauma: Efficacy of plain radiographs. AJR Am. J. Roentgenol. 1992, 158, 109–112.
А.М. Хаджибаев, Д.Б. Туляганов, Б.И. Шукуров, Х.Э. Анваров, К.С. Элмурадов. Узбекистон республикасида политравмада кўрсатилинадиган уч даражали шошилинч тиббий ёрдам тизими. Shoshilinch tibbiyot axborotnomasi, 2023, 16-tom, № 3. С. 4-12.
Lee, M.J.; Wright, A.; Cline, M.; Mazza, M.B.; Alves, T.; Chong, S. Pelvic fractures and associated genitourinary and vascular injuries: A multisystem review of pelvic trauma. AJR Am. J. Roentgenol. 2019, 213, 1297–1306.
Mohseni, S.; Talving, P.; Kobayashi, L.; Lam, L.; Inaba, K.; Branco, B.C.; Oliver, M.; Dematriades, D. The diagnostic accuracy of 64-slice computed tomography in detecting clinically significant arterial bleeding after pelvic fractures. Am. Surg. 2011, 77, 1176–1182.
Lee, M.J.; Wright, A.; Cline, M.; Mazza, M.B.; Alves, T.; Chong, S. Pelvic fractures and associated genitourinary and vascular injuries: A multisystem review of pelvic trauma. AJR Am. J. Roentgenol. 2019, 213, 1297–1306.
Chaumòitre, K.; Portier, F.; Petit, P.; Merrot, T.; Guillon, P.O.; Panuel, M. CT imaging of pelvic injuries in polytrauma patients. J. Radiol. 2000, 81, 111–122.
Giannecchini, S.; Caturano, V.; Rende, C.; Valentini, V.; Trinci, M.; Miele, V. Pelvic trauma: Vascular/visceral. In Diagnostic Imaging in Polytrauma Patients; Miele, V., Trinci, M., Eds.; Springer International Publishing Publishing AG: Cham, Switzerland, 2018; pp. 461–474.
Ben-Menachem, Y.; Coldwell, D.M.; Young, J.W.; Burgess, A.R. Hemorrhage associated with pelvic fractures: Causes, diagnosis, and emergent management. AJR Am. J. Roentgenol. 1991, 157, 1005–1014.
Fishman, E.K.; Horton, K.M.; Johnson, P.T. Multidetector CT and three-dimensional CT angiography for suspected vascular trauma of the extremities. Radiographics 2008, 28, 653–665.
Iacobellis, F.; Ierardi, A.M.; Mazzei, M.A.; Magenta Biasina, A.; Carrafiello, G.; Nicola, R.; Scaglione, M. Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: The imaging findings and management implications. Br. J. Radiol. 2016, 89, 20150952.
Trinci, M.; Cirimele, V.; Cozzi, D.; Galluzzo, M.; Miele, V. Diagnostic accuracy of pneumo-CT-cystography in the detection of bladder rupture in patients with blunt pelvic trauma. Radiol. Med. 2020, 125, 907–917.
Kim, S.H.; Park, S.; Choi, S.H.; Jeong, W.K.; Choi, J.H. The efficacy of magnetic resonance imaging for the diagnosis of testicular rupture: A prospective preliminary study. J. Trauma 2009, 66, 239–242.
