儿童骨盆骨折及相关损伤
Pelvic fractures and associated injuries in children.
作者信息
Chia Jennifer P Y, Holland Andrew J A, Little David, Cass Daniel T
机构信息
Department of Academic Surgery, The Children's Hospital at Westmead, University of Sydney, Australia.
出版信息
J Trauma. 2004 Jan;56(1):83-8. doi: 10.1097/01.TA.0000084518.09928.CA.
BACKGROUND
Pelvic fractures occur uncommonly in children. Despite serious sequelae, they have been infrequently reviewed.
METHODS
We conducted a retrospective review of admissions to our institution from January 1983 to December 2000.
RESULTS
One hundred twenty children with pelvic fractures were identified. Median age was 9 years (range, 1-16 years) and 66% (n = 80) were boys. Pedestrian-motor vehicle injury accounted for 68% (n = 82) of cases. Associated injuries were present in 78% (n = 94). Management of the pelvic fracture was nonoperative in 113 (94%). Thirty-two children (27%) required surgery for associated injuries. Complications during admission occurred in 28% (n = 34). Five children died as a result of their injuries. With a mean follow-up of 36 months (range, 7-156 months), 27% (n = 32) of children suffered an adverse outcome, including neurologic dysfunction and leg-length discrepancies.
CONCLUSION
The majority of pelvic fractures in children may be satisfactorily treated nonoperatively. Operative interventions were more frequently required for associated injuries. Long-term review is indicated because of delayed complications in children that are continuing to grow and develop.
背景
儿童骨盆骨折并不常见。尽管有严重的后遗症，但对其的回顾性研究却很少。
方法
我们对1983年1月至2000年12月期间我院收治的病例进行了回顾性研究。
结果
共确定120例儿童骨盆骨折。中位年龄为9岁（范围1 - 16岁），66%（n = 80）为男孩。行人-机动车损伤占病例的68%（n = 82）。78%（n = 94）存在合并伤。113例（94%）骨盆骨折采用非手术治疗。32例（27%）儿童因合并伤需要手术治疗。住院期间并发症发生率为28%（n = 34）。5例儿童因伤死亡。平均随访36个月（范围7 - 156个月），27%（n = 32）的儿童出现不良后果，包括神经功能障碍和肢体长度差异。
结论
大多数儿童骨盆骨折可以通过非手术治疗获得满意效果。合并伤更常需要手术干预。由于儿童持续生长发育会出现延迟并发症，因此需要进行长期随访。
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