骨盆指文献系统评价

目的通过对骨盆指病例报道的文献系统评价,探讨骨盆指的临床及影像学特征。材料与方法计算机检索PubMed、Embase、The Cochrane Library、中国期刊全文数据库、维普网和万方数据库,对纳入文献进行资料提取及系统评价。结果文献系统评价共纳入28篇中英文报道,大多数病例为偶然发现,少数病例可导致与其相关的临床症状;影像学显示骨盆指大多数为发生于髂骨呈指骨样或肋骨样外观骨性结构,绝大多数表面光整且骨节具有完整的皮髓质结构,在各骨节或骨盆起始部位具有一个或多个假关节结构。结论骨盆指大多无特征临床表现而被偶然发现,影像学特征性表现为发生于骨盆且具有假关节的指样或肋骨样骨突起。识别这种良性异常并进行鉴别诊断对于避免不必要的临床干预非常重要。

Systematic analysis,and review of the literature of pelvic digit

Objective:The clinical and medical imaging features of pelvic digit were shared through systematic analysis of the literature.Materials and Methods:Retrieved from PubMed,Embase,The cochrane library,CJFD database,Viper network and WanFang database.The literatures included in this study were systematically analyzed.Results:A total of 28 case reports were included in the systematic analysis.Pelvic digit is usually asymptomatic and is often discovered accidentally.However,there have been reports of related clinical symptoms in the past.The most common site of pelvic digit is the iliac,and the pseudarthrosis is its characteristic feature.Conclusions:Most pelvic digits were discovered incidentally by image examinations due to other unrelated diseases.Imaging examination provides valuable information for the observation of the appearance,structure and adjacent relationship with the surrounding soft tissue of the pelvic digit.Recognition of this benign anomaly and make a differential diagnosis is important to avoid unnecessary investigation or intervention.