骨盆环骨折——早期固定与延迟固定的比较

Pelvic ring fractures

根据4项回顾性队列研究的结论，对于骨盆环骨折患者，目前仅有少量的证据支持：与延迟固定相比，早期固定能缩短住院时间和降低肺部并发症的发生率，而且可能获得更好的短期功能恢复。但这些结论可能受到混杂因素的影响。因此，应开展随机对照研究来明确这些问题，包括明确和统一“早期”和“延迟”的定义，且对患者的长期功能恢复情况进行比较分析。

Summary There is weak evidence from four retrospective cohort studies that show that early versus delayed fixation of pelvic ring fractures is associated with a reduced length of hospital stay and a reduction in pulmonary complications. Short-term functional status may also be greater among patients receiving early versus delayed fixation. However, these results may be influenced by confounding by indication. Randomized controlled trials are recommended to verify these results, as is the establishment of a consistent definition for ＂early＂ versus ＂delayed, ＂ and to determine the effects of early versus delayed fixation on long-term patient reported outcomes and quality of life.