2010年至2011年新疆地区成人胸腰椎骨折的流行病学分析  

Epidemiological investigation of adult thoracolumbar fractures in Xinjiang from 2010 through 2011

作　　者：孙家元[1] 崔蕴威[1] 刘磊[1] 张弢[1] 陈伟[1] 杨宗酉[1] 王海立[1] 殷兵[1] 刘松[1] 刘勃[1] 王国选[1] 徐永能[1] 李富青[1] 张建路[1] 孙然[1] 李彦森[1] 朱燕宾 孙涛[1] 赵海涛[1] 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

出　　处：《中华创伤骨科杂志》2015年第3期248-250,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的 分析2年间新疆地区4所医院成人胸腰椎骨折的流行病学特征.方法 对2010年1月至2011年12月新疆4所医院收治的成人胸腰椎骨折患者资料进行回顾性分析,记录患者的性别、年龄、损伤节段、OTA分型及Denis分型等数据,总结2年间新疆地区成人胸腰椎骨折的流行病学特征. 结果 共收集2 659例成人胸腰椎骨折患者,男1 374例（51.67％）,女1 285例（48.33％）,男女比为1.07∶1.骨折高发年龄段为61 ～ 70岁（20 53％）;平均年龄为55.9岁.男性骨折高发年龄段为41 ～ 50岁,女性骨折高发年龄段为61 ～70岁,50岁以下患者男性多于女性.骨折根据OTA分型：A型2 298例（86.42％）,B型312例（1 1.73％）,C型49例（1.84％）,男女性高发类型均为A型.骨折根据Denis分型：Ⅰ型1 564例（58.82％）,Ⅱ型768例（28.88％）,Ⅲ型309例（11.62％）,Ⅳ型18例（0.68％）,男女性高发类型均为Ⅰ型.胸腰椎骨折高发节段为53.01（25.87％）,向头尾两侧呈降低趋势,男、女性分布规律相同. 结论 新疆地区成人胸腰椎骨折占脊柱骨折的88.25％,男性多于女性,61 ～70岁患者、OTA-A型骨折、Denis Ⅰ型骨折及53.01节段骨折最多见.Objective To investigate the epidemiological characteristics and trends of adult thoracolumbar fractures between 2010 and 2011 in Xinjiang.Methods The clinical data of adult patients were collected who had been treated between January 2010 to December 2011 for thoracolumbar fracture in 4 hospitals in Xinjiang.The fractures were epidemiologically characterized in terms of gender,age,injured segment,OTA and Denis classifications.Results A total of 2,659 adult thoracolumbar fractures were collected,including 1,374 males （51.67%） and 1,285 females （48.33%）,accounting for 88.25% of the contemporary spinal fractures （2,659/3,013）.The male/female ratio was 1.07：1 and the average age was 55.9 years.The fractures predominated from 61 to 70 years （20.53%） for all,from 41 to 50 years for males and from 61 to 70 years for females.There were more male patients than female ones in the age group of below 50 years.By OTA classification,there were 2,298 cases of type A （86.42%）,312 cases of type B （11.73%） and 49 cases of type C （1.84%）,with type A being the most common for both men and women.By Denis classification,there were 1,564 cases of type Ⅰ（58.82%）,768 cases of type Ⅱ （28.88%）,309 cases of type Ⅲ （11.62%）,and 18 cases of type ⅣV （0.68%）,with type Ⅰ being the most common for both men and women.For both males and females,the most injured segment was 53.01 （25.87%）,and the frequency of injury decreased from this segment toward both ends.Conclusions Between 2010 and 2011 in Xinjiang,adult thoracolumbar fractures accounted for 88.25% of the contemporary spinal fractures,favoring more men than women.Their peak age ranged from 61 to 70 years.The most common fracture type was OTA-type A and Denis-type Ⅰ.The most injured segment was 53.01.

关 键 词：胸椎 腰椎 骨折 流行病学 成年人 

分 类 号：R683[医药卫生—骨科学]