2003年至2012年河北医科大学第三医院成人楔骨骨折的流行病学分析  

Epidemiological characteristics of adult cuneiform fractures at the Third Affiliated Hospital to Hebei Medical University from 2003 through 2012

作　　者：王海立[1] 孙涛[1] 朱燕宾 陈伟[1] 赵海涛[1] 孙然[1] 王娟[1] 殷兵[1] 孙家元[1] 刘磊[1] 程家祥[1] 张如云[1] 李彦森[1] 张晓琳[1] 杨宗酉[1] 刘松[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6期522-525,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的 分析10年间河北医科大学第三医院成人楔骨骨折的流行病学分布特征及变化趋势. 方法 对2003年1月至2012年12月河北医科大学第三医院收治的成人楔骨骨折患者资料进行回顾性分析,记录患者的性别、年龄、骨折分型等数据.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,比较两组患者的一般资料,总结出10年期间成人楔骨骨折的流行病学特征及变化趋势. 结果 共诊治成人楔骨骨折患者307例（309侧）,男213例（214侧）,女94例（95侧）,男女比为2.27∶1.骨折高发年龄段为21 ～ 30岁（24.76％）,单块楔骨骨折按AO分型,高发骨折类型为85-A1型（65.63％）.A组患者134例（135侧）,男女比为2.44∶1,平均年龄为（37.4±13.7）岁;B组患者173例（174）,男女比为2.15∶1,平均年龄为（41.4±13.1）岁.两组患者男女比差异无统计学意义（χ2=0.257,P=0.612）,但两组患者的平均年龄差异有统计学意义（t=-2.584,P=0.010）.A、B两组单块楔骨骨折高发类型均为85-A1型（56.74％、62.30％）,B组85-A1、85-A2、85-A3型构成比均低于A组,但B组85-B1、85-B2、85-B3型的构成比均高于A组,差异有统计学意义（P＜0.05）. 结论 成人楔骨骨折男性多于女性,骨折高发年龄段为21 ～30岁,单块楔骨骨折高发类型为85-A1型.前、后5年相比,男女比未发生明显变化,但后5年平均年龄、单块B型楔骨骨折构成比增高.Objective To analyze the epidemiological features and trends of adult cuneiform fractures from 2003 through 2012 at our hospital.Methods The clinical data were collected of the adult patients who had been treated for cuneiform fracture between January 2003 and December 2012 at our hospital.The fractures were characterized in terms of distributions of gender,age and fracture type of AO classification.The data between January 2003 and December 2007 were assigned into group A and those between January 2008 and December 2012 into group B.The 2 groups were compared to find out the general epidemiologic characteristics and trends in the recent 10 years.Results A total of 307 patients with 309 cuneiform fractures were included in this study,involving 213 males （214 fractures） and 94 females （95 fractures）,with a male to female ratio of 2.27∶ 1.The fractures predominated in an age range of 21 to 30 years （24.76%）.The most frequent type of single cuneiform fracture was 85-A1 （65.63%）.In group A,there were 134 patients （135 fractures）,with a male to female ratio of 2.44∶1 and a mean age of 37.4 ± 13.7 years.In group B,there were 173 patients （174 fractures）,with a male to female ratio of 2.15∶1 and a mean age of 41.4 ± 13.1 years.There was no significant difference in the male/female ratio （χ2 =0.257,P =0.612）,but the difference in the average age was significant between the 2 groups （t =-2.584,P =0.010）.The most common AO type of single fracture was type 85-A1 in both groups （56.74% versus 62.30%）.Group B had significantly lower proportions of 85-A1,85-A2 and 85-A3 than group A,but significantly higher proportions of 85-B1,85-B2 and 85-B3 than group A （P 〈 0.05）.Conclusions Adult cuneiform fracture favored more men than women.Its peak age ranged from 21 to 30 years old.The most common type of single fracture was 85-A1.Compared with the first 5 years,there was no significant change in the male/female ratio,but great increases in the mean age and type B of single fracture d

关 键 词：楔骨 骨折 流行病学 成年人 

分 类 号：R683[医药卫生—骨科学]