骨盆环不稳定和损伤严重程度可预测骨盆骨折患者的死亡：一项回顾性研究。
Instability of the pelvic ring and injury severity can be predictors of death in patients with pelvic ring fractures: a retrospective study.
机构信息
Department of Orthopaedic Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, 663-8501, Japan,
出版信息
J Orthop Traumatol. 2009 Jun;10(2):79-82. doi: 10.1007/s10195-009-0050-x. Epub 2009 Apr 2.
BACKGROUND
The correlation between fracture type and mortality in patients with pelvic fracture has been previously investigated. The purpose of this study was to determine whether instability of the pelvic ring as assessed by Tile's classification is a predictor of death in patients with pelvic fractures.
MATERIALS AND METHODS
The clinical course of consecutive patients with pelvic fractures was retrospectively reviewed. Eighty-seven patients with pelvic ring fractures were included in the study. As potential predictive factors, fracture type according to Tile's classification, and generally used traumatic parameters (injury severity score, revised trauma score, and probability of survival) were analyzed.
RESULTS
The mortality was significantly higher in patients with unstable fracture patterns (P < 0.05). In non-survivors, index values of traumatic parameters were more severe than those in survivors (P < 0.05).
CONCLUSION
The present study suggests that patients with unstable pelvic fractures have an increased risk of death associated with exacerbated injury severity.
背景
之前已经研究过骨盆骨折患者骨折类型与死亡率之间的相关性。本研究的目的是确定根据Tile 分类评估的骨盆环不稳定是否是骨盆骨折患者死亡的预测因素。
材料与方法
回顾性分析连续骨盆骨折患者的临床病程。本研究纳入 87 例骨盆环骨折患者。作为潜在的预测因素，根据 Tile 分类的骨折类型以及通常使用的创伤参数（损伤严重程度评分、修订创伤评分和生存率概率）进行了分析。
结果
不稳定骨折类型患者的死亡率显著更高（P < 0.05）。在非幸存者中，创伤参数的指数值比幸存者更严重（P < 0.05）。
结论
本研究表明，不稳定骨盆骨折患者的死亡风险增加，与损伤严重程度加重有关。
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