输油管爆燃致骨折的影像表现  

IMAGING FEATURES OF FRACTURES DUE TO OIL PIPELINE DEFLAGRATION

作　　者：王欣[1] 王旭振 王家臣[1] 何树岗[1] 马敏阁[1] 

机构地区：[1]青岛大学附属医院放射科,山东青岛266003 [2]青岛卫生学校

出　　处：《青岛大学医学院学报》2017年第2期161-162,167,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的分析输油管线爆燃致伤病人骨折部位及分型。方法回顾分析自2013年11月22—30日在我院放射科就诊的69例输油管爆燃致伤病人的影像学资料,其中行DR检查53例,投照部位132处;行CT检查60例,检查部位232处。结果 DR或CT检查55例病人为阳性,总阳性率约为79.71%,其中40例病人发生骨折,包括单部位骨折11例(27.50%),多部位骨折29例(72.50%),5例病人关节半脱位。本组病人共有13个部位发生了骨折,依次为腰椎骨折16例(40.00%),肋骨骨折13例(32.50%),胫腓骨骨折8例(20.00%),足踝骨骨折8例(20.00%),颅面骨骨折6例(16.00%),胸椎骨折6例(16.00%),骨盆骨折5例(12.50%),手腕骨骨折4例(10.00%),肩关节骨折3例(7.50%),尺桡骨骨折2例(5.00%),锁骨骨折2例(5.00%),肱骨骨折1例(2.50%),颈椎骨折1例(2.50%);按照骨折类型发生情况依次为斜行骨折25例(62.50%),压缩性骨折16例(40.00%),嵌插骨折13例(32.50%),粉碎性骨折5例(12.50%),横行骨折4例(10.00%),线形骨折4例(10.00%)),爆裂性骨折1例(2.50%),螺旋形骨折1例(2.50%)。结论爆燃致多部位骨折中腰椎骨折最常见,骨折类型多为斜行骨折。Objective To analyze the fracture type and site caused by oil pipeline deflagration. Methods Imaging data of 69 injured patiens-who came to X-ray Department of our hospital,during November 22-30,2013,for examination due to oil pipeline deflagration-were reviewed retrospectively.Among them,53 received an X-ray examination with 132 check points,and60 underwent a CT with 232 check points. Results Positive findings were noted in 55 patients,with a total positive rate of79.71%,of whom,40 with fractures-including 11（27.50%）with single site fracture,29（72.50%）with multiple site fracture,and five with subluxation of joint.Fractures occurred in 13sites：16（40.00%）of lumbar spine,followed by 13（32.50%）of ribs,eight（20.00%）of ibia and fibula,eight（20.00%）of ankle and foot bones,six（16.00%）of craniofacial bones,six（16.00%）of thoracic spine,five（12.50%）of pelvic,four（10.00%）of wrist and hand bones,three（7.50%）of shoulder joints,two（5.00%）of ulna and radius,two（5.00%）of clavicle,one（2.50%）of humerus and one（2.50%）of cervical vertebrae.According to the types of fracture,it was 25（62.50%）cases of oblique fracture,followed by 16（40.00%）of compression fracture,13（32.50%）of insert fracture,five（12.50%）of comminuted fracture,four（10.00%）of transverse fractur,four（10.00%）of linear fracture,one（2.50%）of blowout fracture and one（2.50%）of spiral fracture. Conclusion In multiple site fractures caused by deflagration,fracture of lumbar vertebra and oblique fracture are the most commonly seen.

关 键 词：骨折 应力性 体层摄影术 X线计算机 放射摄影 诊断 

分 类 号：R683[医药卫生—骨科学]