汶川大地震骨盆骨折放射学表现分析
|
摘要
目的:分析汶川大地震中伤员骨盆骨折的发生部位及骨折类型。方法:对地震发生后近2个月内先后送至四川大学华西医院治疗的95例骨盆骨折伤员,按放射学检查结果进行骨折部位及类型分析。结果:95例伤员共发生133个部位的骨折。按骨折部位分类:髂骨22个(16.6%),坐骨10个(7.5%),耻骨81个(60.9%),髋臼18个(13.5%),骶尾骨2个(1.5%)。按骨折类型分类:斜行骨折71个(53.4%),粉碎性骨折43个(32.3%),线性骨折11个(8.3%),横行骨折5个(3.7%),嵌插骨折3个(2.3%)。结论:地震造成骨盆骨折部位以耻骨为主,类型以斜行骨折为主。对骨盆骨折伤员,X线及CT检查相结合能为临床提供更好的影像诊断价值。
Objective: To study the location and type of pelvic fracture caused by Wenchuan Earthquake.Methods: Ninety-five patients who had pelvic fracture in West China Hospital within two months' post-earthquake days were investigated.They were classified by the fracture position and type through radiology.Results: There were totally one hundred and thirty-three fractures: the ilium 22(16.6%),the ischium 10(7.5%),the pubis 81(60.9%),the acetabulum 18(13.5%),the sacrum and coccyx 2(1.5%);the oblique fracture 71(53.4%),the comminuted fracture 43(32.3%),the linear fracture 11(8.3%),the transverse fracture 5(3.7%) and the compact fracture 3(2.3%).Conclusion: According to classification of fracture,the oblique fracture and the pubis fracture are predominant.Combination of X-ray and CT examination can provide better value for patients who have pelvic fracture.
Objective: To study the location and type of pelvic fracture caused by Wenchuan Earthquake.Methods: Ninety-five patients who had pelvic fracture in West China Hospital within two months' post-earthquake days were investigated.They were classified by the fracture position and type through radiology.Results: There were totally one hundred and thirty-three fractures: the ilium 22(16.6%),the ischium 10(7.5%),the pubis 81(60.9%),the acetabulum 18(13.5%),the sacrum and coccyx 2(1.5%);the oblique fracture 71(53.4%),the comminuted fracture 43(32.3%),the linear fracture 11(8.3%),the transverse fracture 5(3.7%) and the compact fracture 3(2.3%).Conclusion: According to classification of fracture,the oblique fracture and the pubis fracture are predominant.Combination of X-ray and CT examination can provide better value for patients who have pelvic fracture.
引文
[1]纪琳,邓开鸿.汶川地震颅脑损伤CT诊断及其价值[J].华西医学,2009,24(1):155-157.
[2]徐佩卿.地震伤亡分析[J].中华医院管理,1994,10(5):311.
[3]张英泽,邵新中,孔志刚,等.张北县地震伤情调查与分析[J].河北医科大学学报,1998,19(3):141-142.
[4]何强,梁勇,陈军.16层螺旋CT在骨盆多发损伤的诊断价值[J].医疗卫生装备,2008,29(10):250-251.
[5]Mostafavi H R,Tornetta PⅢ.Radiologic evaluation of pelvis[J].Clin Orthop,1996,(329):6-14.
[6]Hunter J C,Brandser E A,Tran K A.Pelvic and acetabular trau-ma[J].Radiol Clin North Am,1997,35(3):559-590.
[2]徐佩卿.地震伤亡分析[J].中华医院管理,1994,10(5):311.
[3]张英泽,邵新中,孔志刚,等.张北县地震伤情调查与分析[J].河北医科大学学报,1998,19(3):141-142.
[4]何强,梁勇,陈军.16层螺旋CT在骨盆多发损伤的诊断价值[J].医疗卫生装备,2008,29(10):250-251.
[5]Mostafavi H R,Tornetta PⅢ.Radiologic evaluation of pelvis[J].Clin Orthop,1996,(329):6-14.
[6]Hunter J C,Brandser E A,Tran K A.Pelvic and acetabular trau-ma[J].Radiol Clin North Am,1997,35(3):559-590.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心