建筑事故伤致胸腰椎骨折的特点分析  

Characteristics of thoracolumbar fracture in building accident

作　　者：韦兴[1] 侯树勋[1] 罗殿中[1] 史亚民[1] 李利[1] 

机构地区：[1]解放军总医院304临床部全军骨科研究所,北京100037

出　　处：《创伤外科杂志》2006年第2期136-139,共4页Journal of Traumatic Surgery

摘　　要：目的 回顾性分析建筑事故伤致胸腰椎骨折的特点。方法对1994年1月～2003年12月我院收治的228例建筑事故伤致胸腰椎骨折患者（手术治疗203例）进行统计分析，以P〈0．05为显著性差异。结果 骨折多发部位为L1和T12（P〈0．01）；爆裂骨折是最常见的骨折类型（P〈0．01）；不同坠落高度所致的合并伤及脊髓损伤发生率差异显著（P〈0．01），但脊髓完全损伤的发生率差异不显著（P=0．23）；不同触地部位所致的合并伤、脊髓损伤以及脊髓完全性损伤的发生率差异均显著（P〈0．05）；按ASIA分级，手术前后比较，各组间患者例数变化的差异不显著（P〉0．05）。结论 建筑事故伤致胸腰椎骨折有其自身特点，对其受伤机制进行分析有利于正确的诊治。Objective To analyze the characteristics of thoracolumbar fracture in building accident. Methods From 1994 to 2003,228 cases suffered from thoraeolumbar fracture were reviewed,and 203 cases were treated by surgical operation. The epidemiology was analyzed statistically, P 〈 0. 05 was considered as significant difference. Results The most frequent segments of fracture were L1 and T12 （ P 〈 0. 01 ）. The frequency of associated injury or spinal cord injury was significantly different （ P 〈 0. 01 ） according to the height of falling from complete spinal cord injury（ P =0.23 ）. The frequency of associated injury or complete spinal cord injury or not was different significantly（ P 〈 0.01 ） according to the end position of falling （ P 〈 0. 05 respectively ）. In view of ASIA, the number of cases in either class between pre-and post-operation was not significant （ P 〉 0. 05）. Conclusion Thoraeolumbar fractures in building accident have special characteristics,the knowledge of its characteristics is beneficial for the diagnose and treatment of fracture.

关 键 词：胸腰椎骨折 建筑事故 

分 类 号：R687.3[医药卫生—骨科学]