天津市外伤性胸脊髓损伤流行病学分析  

Epidemiology Characteristics of Inpatients with Thoracic Traumatic Spinal Cord Injuries in Tianjin

作　　者：于铁强[1] 冯世庆[2] 焦新旭[2] 李景伟[3] 

机构地区：[1]河北省唐山市第二医院骨科,063000 [2]天津医科大学总医院骨科 [3]天津医科大学宝坻临床医学院

出　　处：《中国骨与关节损伤杂志》2011年第4期302-304,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨天津市外伤性胸脊髓损伤的特点。方法回顾性分析2004年1月～2008年12月天津市14家二级以上医院住院胸脊髓损伤102例的临床资料。结果男性84例,女性18例,平均年龄(37.56±13.46)岁。高空坠落致伤占39.22%(40例),交通事故占33.33%(34例)。T10～12水平损伤占61.8%(63例),完全性脊髓损伤59例(57.84%)。呼吸系统和泌尿系统并发症常见,单因素分析发现并发症与ASIA运动评分(P=0.000)、是否合并多发伤(P=0.007)存在相关性。结论胸髓损伤好发于中青年男性患者,高空坠落和交通事故是主要原因,完全性脊髓损伤的比例较大,脊髓损伤程度严重和存在多发伤的患者容易发生并发症。Objective To investigate the characteristics of the thoracic traumatic spinal cord injury （TSCI） inpatients of Tianjin.Methods From Jannary 2004 to December 2008,102 inpatients with thoracic TSCI of 14 hospitals in Tianjin were analyzed retrospectively. Results There were 102 inpatients in total. The mean age at injury was 37.56±13.46 years old. High fall （39.22%）, motor vehicle accidents （MVC）（33.33%） were the main causes. The most common segments were thoracic 10-12 （61.8%）and 57.84% were complete spinal cord injuries. Respiratlory, complications and urinary complications were common complications. Univariate analysis showed that complications were related to the ASIA motor impairment scores （P =0.000） and polytrauma （P =0.007）.Conclusion Thoracic spinal cord injuries often occur in young male patients. High fall and MVC are the main causes. Complete spinal cord injuries occupy larger proportionality. Complications are common in patiens with severe thoracic spinal cord injuries and with polytrauma.

关 键 词：脊髓损伤 外伤 并发症 流行病学 

分 类 号：R651.2[医药卫生—外科学]