2003年至2012年河北医科大学第三医院成人胫骨远端骨折的流行病学研究  

Epidemiological investigation of adult distal tibial fractures in the Third Affiliated Hospital to Hebei Medical University from 2003 through 2012

作　　者：陈霄[1] 杨宗酉[1] 王娟[1] 陈伟[1] 张英泽[1] 刘松[1] 孙家元[1] 刘磊[1] 刘勃[1] 杨光[1] 田野[1] 张飞[1] 张如云[1] 殷兵[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4期314-317,共4页Chinese Journal of Orthopaedic Trauma

基　　金：河北省卫计委重点科研课题（20130203）;国家自然科学基金（81401789）

摘　　要：目的 分析10年间河北医科大学第三医院成人胫骨远端骨折的流行病学特征及变化趋势.方法 回顾性分析2003年1月至2012年12月10年间诊治的成人胫骨远端骨折患者资料.将2003年1月至2007年12月的患者资料定为A组,2008年1月至2012年12月的患者资料定为B组,将样本按年龄分为青年（16岁～ 40岁）和中老年（41岁）两个年龄段;骨折按AO分型分为关节外骨折（43A型）和关节内骨折（43B型、43C型）两型.采用行乘列表的卡方检验研究总样本年龄、性别、骨折类型之间的关系,比较前、后5年的流行病学特点.结果 共纳入1 533例,占同期成人胫骨骨折的8.32％,占同期成人全身骨折的1.42％.青年721例（47.03％）,中老年812例（52.97％）.男女比为3.13∶1.男1 162例,其中青年603例,构成比较高（51.89％）;女371例,其中中老年253例,构成比较高（68.19％）.关节外骨折748例,其中中老年425例,构成比较高（56.82％）;关节内骨折785例,其中青年398例,构成比较高（50.87％）.A、B两组分别为804例和729例,分别占同期成人胫骨骨折的7.86％和8.89％,差异有统计学意义（P＜0.05）.B组平均年龄[（42.8±14.4）岁]高于A组[（41.6±15.1）岁],关节内骨折构成比（62.41％）高于A组（41.04％）,关节外骨折构成比（37.59％）低于A组（58.96％）,差异均有统计学意义（P＜0.05）. 结论 成人胫骨远端骨折多见于男性和≥41岁的中老年人,男性胫骨远端骨折和胫骨远端关节外骨折多见于16 ～40岁者,女性胫骨远端骨折和胫骨远端关节内骨折多见于≥41岁者.与前5年相比,后5年患者平均年龄呈增长趋势,胫骨远端关节内骨折构成比呈上升趋势,胫骨远端关节外骨折构成比呈下降趋势.Objective To investigate the epidemiological features and trends of adult distal tibial fractures in our hospital from 2003 through 2012.Methods The data of adult distal tibial fractures treated between January 2003 and December 2012 at our hospital were collected through the PACS system and case reports checking system.The data between 2003 and 2007 were assigned into group A while the data between 2008 and 2012 into group B.The patients were also compared between youth age （from 16 to 40 years） and elderly age （≥41 years）,as well as between extra-articular fracture （AO type 43A） and intra-articular fracture （AO types of 43B ＆ 43C）.The relationships among age,gender and fracture type were analyzed using chi-square test,and the epidemiological characteristics compared between groups A and B.Results A total of 1,533 fractures were collected,accounting for 8.32% of the tibial fractures and 1.42% of the adult fractures during the same period.There were 721 youth cases （47.03%） and 812 elderly cases （52.97%）.The male to female ratio was 3.13：1.There were 1,162 male cases,of which 603 were youth（51.89%）.There were 37l female cases,of which 253 were elderly （68.19%）.There were 748 extra-articular fractures,of which 425 were elderly （56.82%）.There were 785 intra-articular fractures,of which 398 were elderly （50.87%）.There were 804 cases in group A and 729 cases in group B,accounting for 7.86% and 8.89% of the contemporary adult tibial fractures respectively,with a significant difference （P 〈 0.05）.The mean age of group B （42.8 ± 14.4 years） was significantly older than that of group A （41.6 ± 15.1 years） （P 〈 0.05）.The proportion of intra-articular fractures in group B （62.41%） was significantly higher than that in group A （41.04%） （P 〈 0.05）.The proportion of extra-articular fractures in group B （37.59%） was significantly lower than that in group A （58.96%） （P 〈 0.05）.Conclusions Adult distal tibial fracture occurred more of

关 键 词：胫骨骨折 流行病学 年龄分布 性别分布 AO分型 

分 类 号：R683.42[医药卫生—骨科学]