219例股骨颈骨折患者的临床特点分析  

Clinical features analysis of femoral neck fractures in 219 patients

作　　者：周靖[1] 党育[1] 张培训[1] 王静[1] 付中国[1] 张殿英[1] 王天兵[1] 徐海林[1] 薛峰[1] 陈建海[1] 杨明[1] 王钢[2] 沈惠良[3] 王光林[4] 吴新宝[5] 姜保国[1] 

机构地区：[1]北京大学人民医院创伤骨科北京大学交通医学中心,100044 [2]南方医科大学南方医院 [3]首都医科大学宣武医院 [4]四川大学华西医院 [5]北京积水潭医院

出　　处：《中华外科杂志》2011年第8期729-732,共4页Chinese Journal of Surgery

基　　金：国家“十一五”科技支撑计划资助项目（2007BAI04B00）;国家杰出青年基金资助项目（30625036）;国家973计划资助项目（2005CB522604）;国家自然科学青年基金资助项目（30801169）

摘　　要：目的探讨股骨颈骨折的临床特点，分析相关原因。方法回顾性分析2002年6月至2009年8月就诊的股骨颈骨折患者，就其性别、年龄、骨折侧别及类型、基本社会学资料、伤前活动情况、外伤因素、治疗情况等进行全面分析。结果分析股骨颈骨折219例，男性106例，女性113例。按年龄分为儿童组（〈16岁）、青壮年组（16～60岁）和老年组（〉60岁）。儿童组股骨颈骨折5例（2．3％），青壮年组81例（37．0％），老年组133例（60．7％）。GardenⅠ型11例（5．0％），Ⅱ型32例（14．6％），Ⅲ型90例（41．1％），Ⅳ型86例（39．3％）。摔伤及交通事故伤是主要的外伤类型。家内和公共场所是主要的外伤地点。结论股骨颈骨折老年人居多，儿童及青壮年患者中男性多见，老年人女性患者多见。儿童组、青壮年组股骨颈骨折Garden分型以Ⅲ型居多，而老年组以Ⅳ型多见。摔伤及交通事故伤是主要的外伤类型。家内和公共场所是主要的外伤地点。Objectives To investigate the clinical features of femoral neck fractures and analyze related causes. Methods The clinical data of patients with femoral neck fractures from June 2002 to August 2009 were retrospectively analyzed. The gender, age, fracture side, fracture type, basic social data, activities before injury, injury causes and treatment were analyzed. Results A total of 219 patients （106 male and 113 female） was analyzed. All patients were divided into children group （age 〈 16 years）, adult group （age ranged from 16 to 60 years） and older group （ 〉 60 years）. There were 5 patients （2. 3% ） in the children group, 81 patients （37.0%） in the adult group and 133 patients（60. 7% ） in the older group. There were 11 patients （5.0%） with Garden Ⅰ fractures, 32 patients （ 14. 6% ） with Garden Ⅱ fractures, 90 patients （41.1%） with Garden Ⅲ fractures and 86 patients （39.3%） with Garden Ⅳ fractures . Fall damage and traffic injury were the main injury types. Home and public place were the main injury sites. Conclusions The incidence of femoral neck fracture shows the highest in the old persons. The male patients with femoral neck fractures are more than female patients in children and adult group, while the male patients with femoral neck fractures are less than female patients in older group. The dominant fractures type according to Garden classification is Garden Ⅲ faetures in children and adult groups, but Garden Ⅳ fractures in older group. Fall damage and traffic injury are the main injury types. Home and public place are the main injury sites.

关 键 词：股骨颈骨折 回顾性研究 流行病学 

分 类 号：R687.3[医药卫生—骨科学]