胸腰椎骨折；____

建筑事故伤致胸腰椎骨折的特点分析

http://www.100md.com 《创伤外科杂志》 2006年第2期

胸腰椎骨折；,,建筑事故,临床资料,1一般资料,2诊断及统计标准,统计方法,结果,讨论,参考文献：

     摘要：目的回顾性分析建筑事故伤致胸腰椎骨折的特点。方法对1994年1月～2003年12月我院收治的228例建筑事故伤致胸腰椎骨折患者(手术治疗203例)进行统计分析，以P<0.05为显著性差异。结果骨折多发部位为L1和T12(P<0.01)；爆裂骨折是最常见的骨折类型(P<0.01)；不同坠落高度所致的合并伤及脊髓损伤发生率差异显著(P<0.01)，但脊髓完全损伤的发生率差异不显著(P＝0.23)；不同触地部位所致的合并伤、脊髓损伤以及脊髓完全性损伤的发生率差异均显著(P<0.05)；按ASIA分级，手术前后比较，各组间患者例数变化的差异不显著(P>0.05)。结论建筑事故伤致胸腰椎骨折有其自身特点，对其受伤机制进行分析有利于正确的诊治。

    关键词：建筑事故

    Characteristics of thoracolumbar fracture in building accident

    WEI Xing,HOU Shuxun,LUO Dianzhong，et al.

    (Department of Orthopaedic,304th Clinical Department of PLA General Hospital,Beijing 100037,China)

    Abstract： Objective To analyze the characteristics of thoracolumbar fracture in building accident.Methods From 1994 to 2003,228 cases suffered from thoracolumbar fracture were reviewed,and 203 cases were treated by surgical operation.The epidemiology was analyzed statistically,P<0.05 was considered as significant difference.Results The most frequent segments of fracture were L1 and T12(P<0.01).The frequency of associated injury or spinal cord injury was significantly different(P<0.01) according to the height of falling from complete spinal cord injury(P＝0.23).The frequency of associated injury or complete spinal cord injury or not was different significantly(P<0.01) according to the end position of falling (P<0.05 respectively ).In view of ASIA,the number of cases in either class between preand postoperation was not significant (P>0.05).Conclusion Thoracolumbar fractures in building accident have special characteristics,the knowledge of its characteristics is beneficial for the diagnose and treatment of fracture. ......

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