Celik B, Sahin E, Nadir A, Kaptanoglu M
Department of Thoracic Surgery, Ondokuz Mayis University Medical School, Samsun, Turkey.
Thorac Cardiovasc Surg. 2009 Dec;57(8):468-71. doi: 10.1055/s-0029-1185819.
Aim of this study was to determine the clinical characteristics, morbidity and mortality in patients with a sternum fracture (SF).
From October 1998 to December 2008, 80 patients with sternal fractures were admitted to the Thoracic Surgery Department of the University Hospital. The records of all patients were reviewed retrospectively. Patients' age and gender, extent of sternal and thoracic injury, types of associated injuries, treatment and outcome, the length of hospital stay, morbidity and mortality were collected. We divided our patients into two groups: Group I with an isolated sternum fracture and Group II with a sternum fracture and additional injury.
Patients' ages ranged from 18 to 83 years with an average age of 48.7 +/- 15.4 years. There were 67 male (84 %) and 13 female (16 %) patients. Thirty-five patients (44 %) sustained an isolated SF and the remaining 45 (56 %) had a SF in combination with associated injuries. The commonest etiology of the SF was a motor vehicle accident (77 %). Most of the fractures were located at the sternal body (76 %). The most common associated injuries were rib fractures (30 %), followed by extremity injuries (18 %). The great majority of patients (81 %) was treated with conservative measures such as bed rest, analgesia, etc. The remainder was treated either by tube thoracostomy (15 %), thoracotomy (1.25 %) or sternal fixation (2.5 %). There was no mortality and morbidity in Group I, but the morbidity and mortality rates of Group II were 15 % and 1 %, respectively. Mean length of hospital stay for all the patients was 5.7 days.
Isolated SFs are benign entities that can be safely managed with rest and analgesia. Associated injuries in patients with SF determine the morbidity and length of hospital stay.
本研究的目的是确定胸骨骨折（SF）患者的临床特征、发病率和死亡率。
1998年10月至2008年12月，80例胸骨骨折患者入住大学医院胸外科。对所有患者的记录进行回顾性分析。收集患者的年龄、性别、胸骨和胸部损伤程度、相关损伤类型、治疗及结果、住院时间、发病率和死亡率。我们将患者分为两组：I组为单纯胸骨骨折，II组为胸骨骨折合并其他损伤。
患者年龄在18至83岁之间，平均年龄为48.7±15.4岁。男性67例（84%），女性13例（16%）。35例患者（44%）为单纯胸骨骨折，其余45例（56%）为胸骨骨折合并其他损伤。胸骨骨折最常见的病因是机动车事故（77%）。大多数骨折位于胸骨体（76%）。最常见的相关损伤是肋骨骨折（30%），其次是四肢损伤（18%）。绝大多数患者（81%）采用卧床休息、镇痛等保守治疗措施。其余患者分别接受胸腔闭式引流术（15%）、开胸手术（1.25%）或胸骨固定术（2.5%）治疗。I组无死亡率和发病率，但II组的发病率和死亡率分别为15%和1%。所有患者的平均住院时间为5.7天。
单纯胸骨骨折是良性疾病，通过休息和镇痛可安全处理。胸骨骨折患者的相关损伤决定了发病率和住院时间。
