髂骨瘀斑征在骨盆骨折合并腹部空腔脏器损伤中的诊断价值

发布时间：2018-04-20 01:28

本文选题：髂骨瘀斑征 + 骨盆骨折　；参考：《中国矫形外科杂志》2017年16期

【摘要】：[目的]探讨髂骨瘀斑征在骨盆骨折合并腹部空腔脏器损伤中的相关性。[方法]2008年1月~2014年12月收治127例骨盆骨折合并腹部外伤患者,记录其年龄、性别、住院时间、卧床时间、创伤评分(AIS、ISS)、X线片检查、CT及强化CT检查、骨盆骨折分型及严重程度、内脏损伤严重程度、手术情况等相关数据,其中有髂骨瘀斑征患者18例(14.2%),与无髂骨瘀斑征患者进行对比分析。[结果]18例有髂骨瘀斑征患者手术探查证实合并腹部空腔脏器破裂患者17例(13.4%),符合率为94.4%。无骼骨瘀斑征组的患者ISS评分显著低于骼骨瘀斑征组(P0.05);骼骨瘀斑征组患者住院时间、卧床时间明显长于无髂骨瘀斑征组患者(P0.05)。[结论]髂骨瘀斑征可作为骨盆骨折合并腹部空腔脏器损伤的一项重要体征,对骨盆骨折合并腹部空腔脏器损伤的早期诊断具有重要的临床意义。
[Abstract]:Objective to investigate the correlation of iliac bone ecchymosis in pelvic fracture with abdominal cavity organ injury. [methods] from January 2008 to December 2014, 127 patients with pelvic fractures complicated with abdominal trauma were treated. Their age, sex, length of stay in hospital, time of bed rest, trauma score, CT and enhanced CT examination, classification and severity of pelvic fractures were recorded. There were 18 patients with iliac bone ecchymosis and 18 patients with iliac bone ecchymosis and the patients without iliac bone ecchymosis were compared with those without iliac bone ecchymosis. [results] in 18 cases with iliac bone ecchymosis, 17 cases with abdominal cavity organ rupture were confirmed by surgical exploration, the coincidence rate was 94.4%. The ISS score in the group without iliac ecchymosis was significantly lower than that in the group of iliac ecchymosis (P 0.05), and the time of stay in bed was significantly longer in the group of iliac ecchymosis than in the group without ecchymosis of iliac bone (P 0.05). [conclusion] Iliac bone ecchymosis can be regarded as an important sign of pelvic fracture with abdominal cavity organ injury, and has important clinical significance for early diagnosis of pelvic fracture with abdominal cavity organ injury.
【作者单位】：山东省交通医院急诊科;山东大学齐鲁医院急诊外科;
【分类号】：R683.3

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