剖宫产与股骨骨折风险
Cesarean section and the risk of fractured femur.
作者信息
Toker Asaf, Perry Zvi H, Cohen Eugen, Krymko Hanna
机构信息
Central Administration, Hadassah Medical Organization, Jerusalem, Israel.
出版信息
Isr Med Assoc J. 2009 Jul;11(7):416-8.
BACKGROUND
The rate of cesarean section is increasing and in the United States recently exceeded 30% of all deliveries. Birth injuries during CS are relatively rare. Femur fractures have a very low incidence during both vaginal delivery and CS.
OBJECTIVES
To assess our 10 year experience (2008-1997) in managing fractured femur during CS, including a typical case.
METHODS
We reviewed the prevalence of femur fractures in two tertiary, academic, level one trauma center hospitals in Israel (Hadassah in Jerusalem and Soroka in Beer Sheva).
RESULTS
During the study period 221,939 deliveries occurred in both hospitals. Of these, 17.6% were cesarean sections (38,990 CS). Of the total number of deliveries, the incidence of femur fracture was 0.077 per 1000 deliveries (17 fractures), and the incidence of femur fracture during CS was 0.308 per 1000 CS (12 fractures).
CONCLUSIONS
Cesarean section increases the risk of femur fractures (P < 0.001) with an odds ratio of 11.26 (confidence interval 3.97-31.97).
背景
剖宫产率正在上升，在美国最近超过了所有分娩的30%。剖宫产期间的分娩损伤相对罕见。股骨骨折在阴道分娩和剖宫产期间的发生率都非常低。
目的
评估我们在10年（1988 - 1997年）间处理剖宫产期间股骨骨折的经验，包括一个典型病例。
方法
我们回顾了以色列两家三级学术一级创伤中心医院（耶路撒冷的哈达萨医院和贝尔谢巴的索罗卡医院）股骨骨折的发生率。
结果
在研究期间，两家医院共发生221,939例分娩。其中，17.6%为剖宫产（38,990例）。在分娩总数中，股骨骨折的发生率为每1000例分娩0.077例（17例骨折），剖宫产期间股骨骨折的发生率为每1000例剖宫产0.308例（12例骨折）。
结论
剖宫产增加了股骨骨折的风险（P < 0.001），优势比为11.26（置信区间3.97 - 31.97）。
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