CAJ | 학술논문

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.
목적 탐토골분골절술후병발증여체중적상관성.방법 대85례행절개복위내고정치료적골분골절환자적림상자료진행회고성분석.소유적환자안조BMI(kg/m2)분성4조:비비반조(BMI＜24.0)、초중조(24.0≤BMI＜28.0)、비반조(28.0≤BMI＜30.0),병이성비반조(BMI≥30.0).대4조환자수술후적상구감염、신경마비、심정맥혈전형성、이위골화진행비교.결과 비비반조25례,발생병발증7례(28%);초중조26례,발생병발증10례(38%);비반조28례,발생병발증19례(68%);병이성비반조6례,발생병발증5례(83%).4조병발증발생솔비교,차이구유통계학의의(P＜0.05).결론 BMI여술후상구감염급심정맥혈전형성발생솔유관,가이예측골분골절술후병발증적발생.
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.