骨盆骨折术后并发症与体重相关性的探讨  

The relationship between body mass index and complications after operative treatment of pelvic fractures

作　　者：陈雪英[1] 刘金兰[1] 窦海霞[1] 

机构地区：[1]潍坊医学院附属医院骨科,261031

出　　处：《中国医药》2010年第10期917-919,共3页China Medicine

摘　　要：目的 探讨骨盆骨折术后并发症与体重的相关性.方法 对85例行切开复位内固定治疗的骨盆骨折患者的临床资料进行回顾性分析.所有的患者按照BMI（kg/m2）分成4组：非肥胖组（BMI＜24.0）、超重组（24.0≤BMI＜28.0）、肥胖组（28.0≤BMI＜30.0）,病理性肥胖组（BMI≥30.0）.对4组患者手术后的伤口感染、神经麻痹、深静脉血栓形成、异位骨化进行比较.结果 非肥胖组25例,发生并发症7例（28%）;超重组26例,发生并发症10例（38%）;肥胖组28例,发生并发症19例（68%）;病理性肥胖组6例,发生并发症5例（83%）.4组并发症发生率比较,差异具有统计学意义（P＜0.05）.结论 BMI与术后伤口感染及深静脉血栓形成发生率有关,可以预测骨盆骨折术后并发症的发生.Objective To explore the relationship between body mass index and complication after operative treatment of pelvic fractures. Methods A retrospective review identified 85 patients who had pelic fracture and were treated with open reduction and internal fixation. The patients were stratified into four classes according to their body mass index （BMI） ：non-obese （〈24）, overweight （24.0-28.0）, obese （28.0-30.0）, and morbidly obese （≥30.0）. The postoperative outcomes included wound infection, nerve palsy, deep venous thrombosis, and heterotopic ossification. Results Complication rate of non-obese group was 7 cases （28.0%）;complication rate of overweight group was 10 cases （38.5%）;complication rate of obese group was 19 cases （67.9%） ;complication rate of of pathological obesity was 5 cases （83.3%）. Conclusions BMI can predict complications after operative treatment of pelvic fractures.

关 键 词：骨盆 骨折 手术后并发症 

分 类 号：R683.3[医药卫生—骨科学]