文档介绍：胸椎骨折伴胸骨骨折9 例分析
作者:蒋伟宇,马维虎,黄雷,孙韶华,应江炜,徐荣明
【摘要】目的对胸椎骨折伴发胸骨骨折进行初步探讨与分析。方法自2001年11月至2006年10月,共收治胸椎骨折伴胸骨骨折患者9 例,全部病例行X线、CT及MRI检查。根据患者年龄、性别、受伤原因、胸骨骨折部位、胸椎损伤节段及类型、脊髓损伤程度及其他合并伤等资料均作为相关信息列入分析。结果损伤原因以交通伤和坠落伤为主,3 例为多节段骨折,9 例合并多发创伤或多发骨折。脊髓损伤发生率高,损伤程度严重。结论胸椎骨折伴胸骨骨折的临床特点为致伤暴力强大,脊柱骨折、脊髓损伤严重,合并多发伤发生率高。胸骨是胸廓环的重要组成结构,并在维持胸椎的稳定性中发挥着重要的作用。
【关键词】胸椎骨折;胸骨骨折;胸廓环
Abstract:Objective To analyze thoracic vertebral fractures associated Since November 2001 to October 2006,9 cases of thoracic vertebral fractures associated fracture itted to our ray examination,CT and MRI ed on all to intimate information of patients such as age,gender,cause of injury,site of the sternal fracture,level and type of thoracic vertebral fracture,spinal cord injury and associated injuries inated in the cases ore than one segment in three spinal injury arked by high incidence and Thoracic vertebral fractures associated fracture arked by violent force,severe fractures of spine,severe injuries of spinal cord and high incidence of associated sternum is one of the important parts in constructing thoracic cage and plays an important role in maintain the stabilization of the thoracic vertebra.
Key . 3 讨论
胸椎骨折伴胸骨骨折的特点胸骨是胸廓环的重要组成结构,对维持胸廓环轴向稳定性起到重要作用[1]。胸骨骨折临床较少见,发生率占胸部外伤的1%~%[2]。脊柱损伤伴胸骨骨折发病率低,多发生于严重创伤中,通常合并多发肋骨骨折。胸廓的稳定性差,形成