골반 골절 위치와 방광, 요도, 하부 위장관계 손상의 관련성

Purpose: This research was conducted to study whether the specific location of pelvic-bone fractures could increase the risk for injury to the urinary bladder, urethra, or lower gastrointestinal tract. Methods: We retrospectively reviewed the data of 234 patients with pelvic-bone fractures who visit...

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Published in:	Daehan oe'sang haghoeji Vol. 20; no. 2; pp. 90 - 95
Main Authors:	김창호, Chang Ho Kim, 박정배, Jung Bae Park, 류현욱, Hyun Wook Ryoo, 서강석, Kang Suk Seo, 서준석, Jun Seok Seo, 정제명, Jae Myung Chung, 제동욱, Dong Wook Je, 성애진, Ae Jin Sung
Format:	Journal Article
Language:	Korean
Published:	대한외상학회 30-12-2007
Subjects:	Fracture Lower gastrointestinal tract Pelvic bone Urethra Urinary bladder Pelvic bone Fracture Urinary bladder Urethra Lower gastrointestinal tract
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Summary:	Purpose: This research was conducted to study whether the specific location of pelvic-bone fractures could increase the risk for injury to the urinary bladder, urethra, or lower gastrointestinal tract. Methods: We retrospectively reviewed the data of 234 patients with pelvic-bone fractures who visited the emergency department of Kyungpook National University Hospital from January 2004 to December 2006. The location of the pelvic-bone fracture was divided into 8 parts. The association of fracture location with injury to the urinary bladder, urethra, or lower gastrointestinal tract was analyzed with Fisher`s-exact test and multiple logistic regression. Results: Nineteen(19) patients had urinary bladder injury, 8 had urethral injury, and 9 had lower gastrointestinal tract injury. The following fracture locations were found to be significant; urinary bladder: sacroiliac (SI) joint (p<0.001), symphysis pubis (p=0.011), and sacrum (p=0.005); urethra: SI joint (p=0.020); lower gastrointestinal tract: symphysis pubis (p=0.028). After the multiple logistic regression analysis, the primary and the independent predictors for each of the injuries were as follows; urinary bladder: sacroiliac joint (p=0.000, odds ratio [OR]=10.469); lower gastrointestinal tract: symphysis pubis (p=0.037, OR=7.009). Conclusion: Consideration of further workup for injuries to the lower gastrointestinal and urinary tract is needed for some locations of pelvic-bone fractures because certain pelvic-bone fracture locations, especially the sacroiliac joint and the symphysis pubis, are associated with increased risk for injury to the lower gastrointestinal and urinary tracts. (J Korean Soc Traumatol 2007;20:90-95)
Bibliography:	The Korean Society of Traumatology KISTI1.1003/JNL.JAKO200710103499883
ISSN:	1738-8767 2287-1683