2010年至2011年河北省多中心成人股骨颈骨折的流行病学研究  

A multi-center epidemiological investigation of adult femoral neck fractures from 2010 through 2011 in Hebei Province

作　　者：赵海涛[1] 陈伟[1] 王娟[1] 孙然[1] 孙涛[1] 殷兵[1] 王海立[1] 李彦森[1] 崔青[2] 部文茜[3] 刘松[1] 刘磊[1] 孙家元[1] 张如云[1] 杨宗酉[1] 程家祥[1] 朱燕宾 张英泽[1] 

机构地区：[1]河北医科大学第三医院创伤急救中心,河北省骨科研究所,河北省骨科生物力学重点实验室,石家庄050051 [2]河北省沧州市中西医结合医院骨科 [3]唐山市第二医院病案室

出　　处：《中华创伤骨科杂志》2015年第2期151-155,共5页Chinese Journal of Orthopaedic Trauma

基　　金：河北省重大医学科研课题，Major Medical Research Projects in Hebei Province

摘　　要：目的 探讨河北省成人股骨颈骨折的流行病学特征及其地区差异. 方法 选择河北省3个地区的骨科医院,分别为河北医科大学第三医院（A组）、沧州市中西医结合医院（B组）、唐山市第二医院（C组）,收集2010年1月至201 1年12月期间]诊治的所有成人股骨颈骨折患者资料,统计患者性别、年龄、骨折Garden分型等数据,总结成人股骨颈骨折的流行病学特征并对比分析3组的数据. 结果 共收治2 825例成人股骨颈骨折患者,占同期成人股骨近端骨折的50.50％,占同期成人全身骨折的3.85％,男女比为0.76∶1,骨折高发年龄段为≥66岁（48.74％）,高发骨折类型为GardenⅢ型（56.18％）.A组、B组、C组成人股骨颈骨折分别为898例、602例、l 325例.3组骨折高发年龄段均为≥66岁,分别占56.35％、49.83％、43.09％,3组之间两两比较差异均有统计学意义（P＜0.05）.A组、C组股骨颈骨折占同期成人股骨近端骨折的比例均高于B组,占同期成人全身骨折的比例：B组＜A组＜C组,以上项目比较差异均有统计学意义（P＜0.05）.3组患者高发骨折类型均为GardenⅢ型.A组移位骨折构成比（63.47％）低于B组（75.58％）和C组（72.53％）,差异均有统计学意义（P＜0.05）. 结论 河北省成人股骨颈骨折女性多于男性,老年患者多见,高发骨折类型为GardenⅢ型.股骨颈骨折占同期成人股骨近端骨折的比例石家庄地区最高,占同期成人全身骨折的比例唐山地区最高,老年患者构成比石家庄地区最高,3个地区性别构成无差异.Objective To investigate the epidemiological features of adult femoral neck fractures in Hebei Province.Methods The epidemiological survey was conducted in 3 orthopaedic hospitals at 3 regions in Hebei Province [The Third Affiliated Hospital to Hebei Medical University at Shijiazhuang （Group A）,Cangzhou No.2 Hospital at Cangzhou （Group B） and The Second Hospital of Tangshan at Tangshan （Group C）].The data of adult fractures treated between 2010 January to 2011 December at the 3 hospitals were collected through the PACS system.Adult femoral neck fractures were analyzed in terms of classification,gender,age and Garden fracture type.Comparisons between the 3 groups were made.Results A total of 2,825 adult femoral neck fractures were treated,accounting for 50.50% of the proximal femoral fractures and 3.85% of all the adult fractures at the same period.The ratio of male to female was 0.76∶ 1.The peak age of femoral neck fracture was ≥66 years （48.74%） and the predominant type was Garden type Ⅲ （56.18%）.There were 898,602 and 1,325 adult femoral neck fractures respectively in groups A,B and C.The peak ages of femoral neck fracture in the 3 groups were all ≥66 years,but there were significant differences between the 3 groups （56.35% for group A versus 49.83% for group B versus 43.09% for group C） （P 〈 0.05）.The proportions of femoral neck fractures in the contemporary proximal femoral fractures in groups A and C were significantly higher than in group B （P 〈 0.05）.As for the proportion of femoral neck fractures in the contemporary adult fractures,group B 〈 group A 〈 group C （P 〈 0.05）.Garden type Ⅲ was the predominant type in all the 3 groups.The proportion of displaced fractures in group A （63.47%） was significantly smaller than that in group B （75.58%） and in group C （72.53%） （P 〈 0.05）.Conclusions More adult women suffered from femoral neck fracture than adult men in Hebei Province.The victims were mostly old people.Garden type Ⅲ was predomin

关 键 词：股骨颈骨折 流行病学 多中心研究 成年人 

分 类 号：R683.4[医药卫生—骨科学]