【摘要】 目的:分析汶川大地震中伤员骨盆骨折的发生部位及骨折类型。方法:对地震发生后近2个月内先后送至四川大学华西医院治疗的95例骨盆骨折伤员,按放射学检查结果进行骨折部位及类型分析。结果:95例伤员共发生133个部位的骨折。按骨折部位分类:髂骨22个(16.6%),坐骨10个(7.5%),耻骨81个(60.9%),髋臼18个(13.5%),骶尾骨2个(1.5%)。按骨折类型分类:斜行骨折71个(53.4%),粉碎性骨折43个(32.3%),线性骨折11个(8.3%),横行骨折5个(3.7%),嵌插骨折3个(2.3%)。结论:地震造成骨盆骨折部位以耻骨为主,类型以斜行骨折为主。对骨盆骨折伤员,X线及CT检查相结合能为临床提供更好的影像诊断价值。更多还原

【Abstract】 Objective: To study the location and type of pelvic fracture caused by Wenchuan Earthquake.Methods: Ninety-five patients who had pelvic fracture in West China Hospital within two months’ post-earthquake days were investigated.They were classified by the fracture position and type through radiology.Results: There were totally one hundred and thirty-three fractures: the ilium 22(16.6%),the ischium 10(7.5%),the pubis 81(60.9%),the acetabulum 18(13.5%),the sacrum and coccyx 2(1.5%);the oblique fracture 71(53.4%),the comminuted fracture 43(32.3%),the linear fracture 11(8.3%),the transverse fracture 5(3.7%) and the compact fracture 3(2.3%).Conclusion: According to classification of fracture,the oblique fracture and the pubis fracture are predominant.Combination of X-ray and CT examination can provide better value for patients who have pelvic fracture.更多还原