腰椎横突骨折重要性评价  

Evaluation on Transverse Process Fractures of the Lumbar Spine

作　　者：谢坪[1] 陈楠[1] 付凯[1] 

机构地区：[1]四川省人民医院放射科,四川成都610072

出　　处：《实用放射学杂志》2003年第2期149-150,共2页Journal of Practical Radiology

摘　　要：目的　研究腹部钝性损伤患者腰椎横突骨折的发生与腹部内脏损伤的关系。方法　收集 1997～ 2 0 0 0 -0 7我院收治腹部钝性损伤患者 169例。回顾患者CT片及手术记录 ,总结横突骨折以及内脏损伤的数量及类型。结果　CT显示 81例有横突骨折 ,14 8个横突骨折 ( 43例系单发 ,38例系多发 )。 33例左侧横突骨折 ,2 8例右侧 ,2 0例双侧。L1横突骨折最常见 (n =60 ) ,横突骨折伴发内脏损伤 15例 ,腰椎横突骨折的发生与腹部内脏损伤具有相关性 (Ρ <0 .0 5 )。结论　腰椎横突骨折与腹部内脏损伤具有相关性 ,对临床工作 。Objective To evaluate the relationship between transverse process fractures of lumbar spine and blunt abdominal trauma.Methods 169 cases of blunt abdominal trauma were reviewed.Number and type of lumbar transverse process fractures associated intra-abdominal injuries were recorded.Results 148 fractures in 81 cases showed transverse process fractures on CT (single fractures in 43,multiple fractures in 38).Of them,the fractures were at right-sided in 28 patients,left-sided in 33 and bilateral in 20.Transverse process fractures of L 1 vertebra were most common(n=60).Transverse process fractures were associated with abdominal trauma in 15 cases (18%), both was statistically significant (Ρ<0.05).Conclusion There is a statistically significant relationship between the transverse process fractures and intra-abdominal injury.

关 键 词：腰椎横突骨折 腹部内脏损伤 关系 CT诊断 超声诊断 临床分析 

分 类 号：R683.2[医药卫生—骨科学]