Clinical Of Analysis Of Early Complications And Risk Factors In Patients With Sacral Fracture Of Dennis Ⅲ

Objective:To investigate the incidence and risk factors of the early complications in patients with acute traumatic sacral fractures of DennisIII.(TSF).Methods:Clinical information of133cases of sacral fracture patients of DennisⅢ was analyzed retrospectively. And the possible influencing factors related for complications in patients with traumatic sacral fractures of DennisⅢ were analyzed on univariate analysis and multivariate logistic regression analysis. According to the literature and clinical observation results, select6factors that may affect patients complicated with early complications including gender, age, type of fracture, operation or not, organ damage, the extent of nerve injury were studied with single factor analysis, then the single factor analysis of relevant factors are statistically significant differences in Logistic multivariate regression analysis.Results:Early complications in group (133cases):male87cases, female46cases; age16～75years, mean35±14.36years; the type of Roy-ComilleⅠ25cases, the type of Roy-Comillell51cases, the type of Roy-ComilleⅢ45cases, the type of Roy-ComilleⅣ12cases,79cases with nerve injury,12cases of rectal injury,22cases of bladder injury,13cases the vaginat injury, male urethral rupture in17cases, Morel-Lavallee injury in8cases,31cases with abdominal injury,18cases with thoracic trauma,37patients with brain injury,53cases with early complications in the group, the incidence was39.8%(53/133), early complications included hemorrhagic shock in35cases (26.3%),23cases of urinary tract infection (17.3%),24cases of electrolyte disturbance (18.0%),11cases of deep venous thrombosis (8.3%),8cases of wound infection (6.0%),6cases with pneumonia infection,(4.5%),1cases of pulmonary embolism (0.7%),65cases with two kinds of complications,21patients with three complications. Single factor analysis showed:age, type of fracture, nerve injury, combined injury, operation or not have certain correlation with early complications (P<0.05). Multivariate Logistic regression analysis showed:age (OR:0.800, P=0.038), nerve injury (OR:4.571, P=0.002), fracture type (OR:4.764, P=0.000), combined injury (OR:5.317, P=0.000) and operation or not (OR:2.814, P=0.016) are risk factors for early complications in patients with sacral fractures of DennisⅢ..Conclusion:1. Early complications in patients with acute traumatic sacral fractures of DennisⅢ were the result of many factors interaction. The type of fractures、nerve injury、combined with the other organ damage、operate or not and the age of patient were high risk factors for early complications in patients with acute traumatic sacral fractures of DennisIII.2. The risk factors of early complications in patients with sacral fractures of DennisⅢ.include the type of fracture, combined with the other organ damage, the extent of nerve injury and operation or not and complications are often affect the prognosis of patients. Therefore, in the early injury should be targeted at high-risk groups and various risk factors for comprehensive prevention and control, especially for the older, unstable fracture patients and associated with other organ injury patients. such as a large number of blood transfusion for rescuing shock, strengthening management of respiratory tract, the bedsore and regular blood biochemical examination in hospital after injury. For the implementation of operation patients should actively improve the patient’s general health, increase the patient’s resistance, prevention postoperative complications,so as to reduce early complications of patients with sacral fractures, greatly promote the recovery of neurological function, improve the quality of life of patients and prolong patients life.