【摘要】 目的回顾性分析建筑事故伤致胸腰椎骨折的特点。方法对1994年1月~2003年12月我院收治的228例建筑事故伤致胸腰椎骨折患者(手术治疗203例)进行统计分析,以P<0.05为显著性差异。结果骨折多发部位为L1和T12(P<0.01);爆裂骨折是最常见的骨折类型(P<0.01);不同坠落高度所致的合并伤及脊髓损伤发生率差异显著(P<0.01),但脊髓完全损伤的发生率差异不显著(P=0.23);不同触地部位所致的合并伤、脊髓损伤以及脊髓完全性损伤的发生率差异均显著(P<0.05);按ASIA分级,手术前后比较,各组间患者例数变化的差异不显著(P>0.05)。结论建筑事故伤致胸腰椎骨折有其自身特点,对其受伤机制进行分析有利于正确的诊治。更多还原

【Abstract】 Objective To analyze the characteristics of thoracolumbar fracture in building accident.Methods From 1994 to 2003,228 cases suffered from thoracolumbar fracture were reviewed,and 203 cases were treated by surgical operation.The epidemiology was analyzed statistically,P<0.05 was considered as significant difference.Results The most frequent segments of fracture were L₁ and T₁₂（P<0.01）.The frequency of associated injury or spinal cord injury was significantly different（P<0.01） according to the height of falling from complete spinal cord injury（P=0.23）.The frequency of associated injury or complete spinal cord injury or not was different significantly（P<0.01） according to the end position of falling（P<0.05 respectively）.In view of ASIA,the number of cases in either class between pre-and post-operation was not significant（P>0.05）.Conclusion Thoracolumbar fractures in building accident have special characteristics,the knowledge of its characteristics is beneficial for the diagnose and treatment of fracture.更多还原