106例儿童骨盆骨折的回顾性分析

目的 回顾性分析2003至2007年在我院诊治的106例儿童骨盆骨折的流行病学特点.方法 利用图片存档及通信系统(PACS)及病案查询系统,整理分析我院2003至2007年间诊治的骨盆骨折患儿影像及病历等资料,统计其性别、年龄、损伤部位、儿童骨盆骨折Torode和Zieg分型等项目,并进行分析.结果 本次共调查骨盆骨折患儿106例,男性明显多于女性,男性和女性骨盆骨折高发年龄均为11～15岁,左侧损伤最多,双侧骨折最少.致伤原因以行人机动车交通事故为主,骨折类型以Torode和Zieg分型中Ⅲ型损伤为多见.除骨盆骨折外,伴发其他肢体骨折19例;住院患儿中44.4%(16/36)伴有软组织、严重的脏器或血管等损伤.结论 采取措施减少行人机动车事故是预防儿童骨盆骨折的有效措施,对于伴发脏器、血管等损伤的患儿要早期积极处理;对于移位明显儿童骨盆骨折应行手术治疗.

The retrospective study of 106 pediatric pelvic fractures

Objective To retrospectively analyze the epidemiological features of pediatric pelvic fractures.Methods Between 2003 and 2007,the clinical data of 106 children with pelvic fractures were collected through the picture archiving and communication system(PACKS)and case reports checking system.The patients'gender,age at injury,injured sites and Torode and Zieg injury type were analyzed retrospectively.Results Most patients were between 11 and 15 years old at the time of injury.Males were more than females.The most common pelvic fractures were at the left side and the least were bilateral injuries.The auto-pedestrian accidents were the most conmmon cause for pediatric pelvic fractures.The most conmmon injury was the Torode and Zieg type Ⅲ iniury.Besides pelvic fracture,19 cases complicated with fractures in other parts of the body.Of the patients admitted to this center,44.44% suffered soft tissue iniuries,organ injuries or vascular injuries.Conclusions Auto-pedestrian accidents are the most common cause for the pelvic fractures in children.Early and effective intervention after injury can improve the clinical outcomes of pediatric pelvic fractures complicated with soft tissue.internal organs or vascular injury.Operation should be considered for the patients with severe displaced pediatric pelvic fractures.