中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2010年
5期
354-356
,共3页
陈伟%张奇%吕莉%于昆仑%朱炼%赵海涛%孙涛%孙然%李宝俊%张英泽
陳偉%張奇%呂莉%于昆崙%硃煉%趙海濤%孫濤%孫然%李寶俊%張英澤
진위%장기%려리%우곤륜%주련%조해도%손도%손연%리보준%장영택
骨盆骨折%Torode-Zieg分型
骨盆骨摺%Torode-Zieg分型
골분골절%Torode-Zieg분형
Pelvis fracture%Torode-Zieg classification
目的 回顾性分析2003至2007年在我院诊治的106例儿童骨盆骨折的流行病学特点.方法 利用图片存档及通信系统(PACS)及病案查询系统,整理分析我院2003至2007年间诊治的骨盆骨折患儿影像及病历等资料,统计其性别、年龄、损伤部位、儿童骨盆骨折Torode和Zieg分型等项目,并进行分析.结果 本次共调查骨盆骨折患儿106例,男性明显多于女性,男性和女性骨盆骨折高发年龄均为11~15岁,左侧损伤最多,双侧骨折最少.致伤原因以行人机动车交通事故为主,骨折类型以Torode和Zieg分型中Ⅲ型损伤为多见.除骨盆骨折外,伴发其他肢体骨折19例;住院患儿中44.4%(16/36)伴有软组织、严重的脏器或血管等损伤.结论 采取措施减少行人机动车事故是预防儿童骨盆骨折的有效措施,对于伴发脏器、血管等损伤的患儿要早期积极处理;对于移位明显儿童骨盆骨折应行手术治疗.
目的 迴顧性分析2003至2007年在我院診治的106例兒童骨盆骨摺的流行病學特點.方法 利用圖片存檔及通信繫統(PACS)及病案查詢繫統,整理分析我院2003至2007年間診治的骨盆骨摺患兒影像及病歷等資料,統計其性彆、年齡、損傷部位、兒童骨盆骨摺Torode和Zieg分型等項目,併進行分析.結果 本次共調查骨盆骨摺患兒106例,男性明顯多于女性,男性和女性骨盆骨摺高髮年齡均為11~15歲,左側損傷最多,雙側骨摺最少.緻傷原因以行人機動車交通事故為主,骨摺類型以Torode和Zieg分型中Ⅲ型損傷為多見.除骨盆骨摺外,伴髮其他肢體骨摺19例;住院患兒中44.4%(16/36)伴有軟組織、嚴重的髒器或血管等損傷.結論 採取措施減少行人機動車事故是預防兒童骨盆骨摺的有效措施,對于伴髮髒器、血管等損傷的患兒要早期積極處理;對于移位明顯兒童骨盆骨摺應行手術治療.
목적 회고성분석2003지2007년재아원진치적106례인동골분골절적류행병학특점.방법 이용도편존당급통신계통(PACS)급병안사순계통,정리분석아원2003지2007년간진치적골분골절환인영상급병력등자료,통계기성별、년령、손상부위、인동골분골절Torode화Zieg분형등항목,병진행분석.결과 본차공조사골분골절환인106례,남성명현다우녀성,남성화녀성골분골절고발년령균위11~15세,좌측손상최다,쌍측골절최소.치상원인이행인궤동차교통사고위주,골절류형이Torode화Zieg분형중Ⅲ형손상위다견.제골분골절외,반발기타지체골절19례;주원환인중44.4%(16/36)반유연조직、엄중적장기혹혈관등손상.결론 채취조시감소행인궤동차사고시예방인동골분골절적유효조시,대우반발장기、혈관등손상적환인요조기적겁처리;대우이위명현인동골분골절응행수술치료.
Objective To retrospectively analyze the epidemiological features of pediatric pelvic fractures.Methods Between 2003 and 2007,the clinical data of 106 children with pelvic fractures were collected through the picture archiving and communication system(PACKS)and case reports checking system.The patients'gender,age at injury,injured sites and Torode and Zieg injury type were analyzed retrospectively.Results Most patients were between 11 and 15 years old at the time of injury.Males were more than females.The most common pelvic fractures were at the left side and the least were bilateral injuries.The auto-pedestrian accidents were the most conmmon cause for pediatric pelvic fractures.The most conmmon injury was the Torode and Zieg type Ⅲ iniury.Besides pelvic fracture,19 cases complicated with fractures in other parts of the body.Of the patients admitted to this center,44.44% suffered soft tissue iniuries,organ injuries or vascular injuries.Conclusions Auto-pedestrian accidents are the most common cause for the pelvic fractures in children.Early and effective intervention after injury can improve the clinical outcomes of pediatric pelvic fractures complicated with soft tissue.internal organs or vascular injury.Operation should be considered for the patients with severe displaced pediatric pelvic fractures.