CAJ | 학술논문

目的：探讨交通事故与高处坠落致骨盆骨折的特点及其差异。方法：对415例交通事故与120例高处坠落致骨盆骨折病例进行比较分析，全部病人根据骨盆骨折各部位发生率及骨折分布情况进行统计处理。结果：交通事故组骨折脱位的发生率左侧高于右侧；高处坠落组骨折脱位的发生率两侧相近。交通事故组髂骨骨折、髋臼骨折及耻骨联合分离的发生率高于高处坠落组，而骶尾骨骨折及坐骨骨折的发生率低于后者；耻骨上下支骨折、骶髂关节脱位及髋关节脱位的发生率2组相近。结论：致伤原因不一，其损伤类型、程度各异。交通事故与高处坠落致骨盆各部位骨折的发生情况存在一定差异。
목적：탐토교통사고여고처추락치골분골절적특점급기차이。방법：대415례교통사고여120례고처추락치골분골절병례진행비교분석，전부병인근거골분골절각부위발생솔급골절분포정황진행통계처리。결과：교통사고조골절탈위적발생솔좌측고우우측；고처추락조골절탈위적발생솔량측상근。교통사고조가골골절、관구골절급치골연합분리적발생솔고우고처추락조，이저미골골절급좌골골절적발생솔저우후자；치골상하지골절、저가관절탈위급관관절탈위적발생솔2조상근。결론：치상원인불일，기손상류형、정도각이。교통사고여고처추락치골분각부위골절적발생정황존재일정차이。
Objective:To investigate the characteristics and diferences that pelvic fracture between tragic accident and fall from high places.Methods:The records of the patients admitted with pelvic fracture following trafic accidents (415 eases) and fall from high places (120 cases) were analysed according to the incidence and various parts of pelvic fracture .Results:In traffic accident,the incidence of fracture and dislocation in left pelvic side was more than right .the incidence of fracture and dislocation was similar on both sides in the falling from high places .The incidence of iliac fracture , acetabular fracture and pubic symphysis separation in traffic accident was more than falling from high places .But the incidence of sacral fracture , coccyx fracture and ischia frature was less of the latter .The incidence of pubic upper and lower branches fracture and sacroiliac joint and dislocation of hip joint was similar on both groups .Conclusion:This study demonstrates that there exists a change in the patterns and severity of the injury because the causes of injury are different .There might be a significant difference between traffic accident and falling in incidence of pelvic fracture .