川北医学院学报2017，Vol.32Issue(5)：673-676,4.DOI:10.3969/j.issn.1005-3697.2017.05.007
腰5横突骨折与骨盆骨折稳定性及腹腔组织损伤的相关性研究
The correlation study between L5 transverse process fracture with pelvic fracture instability and abdominal organ injuries
摘要
Abstract
Objective:To determine whether L5 transverse process fractures (TPF) in patients had pelvic fracture is associated with pelvic fracture instability and abdominal organ injuries.Methods:183 consecutive patients with pelvic fracture were enrolled into this study and divided into 3 groups according to Tile classification,to investigate the correlation between L5 TPF with pelvic fracture instability and abdominal organ injuries.Results:Among 51 pelvic fracture patients,2 (2/37,5.4％),17 (17/101,16.8 ％) and 32 (32/45,71.1％) had type A,B and C pelvic fracture,respectively.The incidence of L5 transverse process fracture was significantly higher in patients with Type C pelvic fracture compared with Type A and B patients,the difference was statistically significant(P ＜ 0.001).The odds ratio for an unstable fracture of the pelvis was.8.84.59 of the pelvic fracture patients associated with abdominal organ injuries.Among these patients,20 with transverse process fractures,7 had non-transverse process (NTP) fractures only (including vertebral body,pedicle,or spinous process fractures),3 had both L5 transverse process and NTP fractures,and 29 without Lumbar fracture.The incidence of abdominal organ damage was significantly higher in patients with both L5 transverse process and NTP fractures (P ＜ 0.05),and the OR value of predicting abdominal visceral injuries was 3.52.Patients with transverse process fractures and abdominal organ injuries had an increased Abbreviated Injury Scale (AIS) score (3.58 ± 0.89 vs.2.93 ± 0.55,P =0.005) compared with patients with NTP fractures and abdominal organ injuries.Conclusion:A fracture of the transverse process of L5 in the presence of a pelvic fracture is associated with an increased risk of instability of the pelvic fracture,and should be regarded as a significant marker for abdominal organ injuries in patients with pelvic fracture.关键词
不稳定性骨盆骨折/腰5横突骨折/腹部脏器损伤Key words
Instable pelvic fracture/L5 transverse process fracture/Abdominal organ injuries分类
医药卫生引用本文复制引用
郭丹丹,李春平,李睿..腰5横突骨折与骨盆骨折稳定性及腹腔组织损伤的相关性研究[J].川北医学院学报,2017,32(5):673-676,4.基金项目
四川省教育厅计划项目(11ZA186) （11ZA186）
