Abstract：
UNASSIGNED: This systematic review aims to investigate the management and outcomes of pelvic ring fractures (PRFs) during pregnancy, emphasizing maternal and fetal mortality rates, mechanisms of injury, and treatment modalities.
UNASSIGNED: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a comprehensive search of databases from 2000 to 2023, identifying 33 relevant studies. Data extraction included demographics, fracture types, treatment methods, and outcomes. Risk of bias was assessed using the JBI criteria.
UNASSIGNED: Maternal mortality stood at 9.1%, with fetal mortality at 42.4%. Maternal factors impacting mortality included head trauma and hemodynamic instability. Fetal mortality correlated with mechanisms like motor vehicle accidents and maternal vital signs. Surgical and conservative treatments were applied, with a majority of pelvic surgeries performed before delivery. External fixators proved effective in fracture stabilization.
UNASSIGNED: Pelvic ring fractures during pregnancy present significant risks to maternal and fetal health. Early stabilization and vigilant monitoring of maternal vital signs are crucial. Vaginal bleeding/discharge serves as a critical fetal risk indicator. The choice between surgical and conservative treatment minimally influenced outcomes. Multidisciplinary collaboration and tailored interventions are essential in managing these complex cases.
UNASSIGNED: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a comprehensive search of databases from 2000 to 2023, identifying 33 relevant studies. Data extraction included demographics, fracture types, treatment methods, and outcomes. Risk of bias was assessed using the JBI criteria.
UNASSIGNED: Maternal mortality stood at 9.1%, with fetal mortality at 42.4%. Maternal factors impacting mortality included head trauma and hemodynamic instability. Fetal mortality correlated with mechanisms like motor vehicle accidents and maternal vital signs. Surgical and conservative treatments were applied, with a majority of pelvic surgeries performed before delivery. External fixators proved effective in fracture stabilization.
UNASSIGNED: Pelvic ring fractures during pregnancy present significant risks to maternal and fetal health. Early stabilization and vigilant monitoring of maternal vital signs are crucial. Vaginal bleeding/discharge serves as a critical fetal risk indicator. The choice between surgical and conservative treatment minimally influenced outcomes. Multidisciplinary collaboration and tailored interventions are essential in managing these complex cases.
摘要：
■本系统评价旨在探讨妊娠期骨盆环骨折（PRF）的治疗和结局，强调孕产妇和胎儿死亡率，损伤机制,和治疗方式。
■遵循系统评价和荟萃分析指南的首选报告项目，我们对2000年至2023年的数据库进行了全面检索,确定了33项相关研究.数据提取包括人口统计，骨折类型,治疗方法,和结果。使用JBI标准评估偏倚风险。
■产妇死亡率为9.1%，胎儿死亡率为42.4%。影响死亡率的产妇因素包括头部创伤和血流动力学不稳定。胎儿死亡率与机动车事故和孕产妇生命体征等机制相关。采用手术和保守治疗，大多数骨盆手术在分娩前进行。外固定器在骨折稳定方面被证明是有效的。
妊娠期间的骨盆环骨折对母体和胎儿健康构成重大风险。孕产妇生命体征的早期稳定和警惕监测至关重要。阴道出血/出院是关键的胎儿风险指标。手术和保守治疗之间的选择对预后的影响最小。多学科协作和量身定制的干预措施对于管理这些复杂案件至关重要。
■遵循系统评价和荟萃分析指南的首选报告项目，我们对2000年至2023年的数据库进行了全面检索,确定了33项相关研究.数据提取包括人口统计，骨折类型,治疗方法,和结果。使用JBI标准评估偏倚风险。
■产妇死亡率为9.1%，胎儿死亡率为42.4%。影响死亡率的产妇因素包括头部创伤和血流动力学不稳定。胎儿死亡率与机动车事故和孕产妇生命体征等机制相关。采用手术和保守治疗，大多数骨盆手术在分娩前进行。外固定器在骨折稳定方面被证明是有效的。
妊娠期间的骨盆环骨折对母体和胎儿健康构成重大风险。孕产妇生命体征的早期稳定和警惕监测至关重要。阴道出血/出院是关键的胎儿风险指标。手术和保守治疗之间的选择对预后的影响最小。多学科协作和量身定制的干预措施对于管理这些复杂案件至关重要。
