汶川大地震骨盆骨折放射学表现分析

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。

Analysis of the Radiological Performance of Pelvic Fracture in Wenchuan Earthquake

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.