2003年至2012年河北医科大学第三医院儿童跟骨骨折的流行病学研究  

Epidemiological investigation of pediatric calcaneal fractures in the Third Affiliated Hospital to Hebei Medical University from 2003 through 2012

作　　者：赵海涛[1] 苏艳玲[1] 陈伟[1] 孙然[1] 孙涛[1] 殷兵[1] 王海立[1] 李彦森[1] 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

出　　处：《中华创伤骨科杂志》2015年第11期977-981,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨10年期间河北医科大学第三医院儿童跟骨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月期间河北医科大学第三医院诊治的儿童跟骨骨折患者资料，记录患者的性别、年龄、骨折Essex—Lopresti分型及致伤原因等数据。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年期间儿童跟骨骨折的流行病学特征及变化趋势。结果共收治164例儿童跟骨骨折患者，占同期儿童足部骨折的15．26％（164／1075），占同期儿童全身骨折的0．87％（164／18831）。男116例，女48例，男女比为2．42：1。骨折高发年龄段为11—15岁（45．73％）。高发骨折类型为Essex．LoprestiⅡ型（70．12％）。高处坠落伤占57．93％，26．83％的患儿合并其他部位骨折。A、B两组分别为85、79例，分别占同期儿童足部骨折的15．43％（85／551）、15．08％（79／524），占同期儿童全身骨折的0．86％（85／9844）、0．88％（79／8987），两组比较差异均无统计学意义（P〉0．05）。两组患者各年龄段骨折构成比、骨折Essex—Lopresti分型、单发跟骨骨折构成比、高处坠落伤构成比比较差异均无统计学意义（P〉0．05）。结论儿童跟骨骨折占同期儿童足部骨折的15．26％，占同期儿童全身骨折的0．87％，男性多于女性，骨折高发年龄段为11～15岁，Essex．LoprestiⅡ型骨折多见。2003年至2012年儿童跟骨骨折的性别、年龄段分布、骨折Essex-Lopresti分型分布等流行病学特征趋于稳定。Objective To investigate the epidemiological features and analyze the trends of pediatric calcaneal fractures from 2003 through 2012 in our hospital. Methods The data of human fractures and pediatric calcaneal fractures treated between 2003 January to 2012 December at our hospital were collected through the PACS system and case reports checking system. The data of pediatric calcaneal fractures between 2003 and 2007 were classified as group A while the data between 2008 and 2012 as group B. Comparisons were made between the 2 groups in terms of gender, age, fracture type by Essex-Lopresti classification, and injury causes. The epidemiological characteristics and trends of the pediatric calcaneal fracture were analyzed. Results A total of 164 pediatric calcaneal fractures were included, accounting for 15.26% of the contemporary pediatric foot fractures（164/1, 075）, and 0. 87% of the contemporary total pediatric fractures （164/18, 831） . They were 116 males and 48 females, with a male/female ratio of 2.42： 1. The peak age was from 11 to 15 years （45.73%）. The most frequent type was Essex-Lopresti type II （70. 12% ）. The fall injury accounted for 57.93%. 26. 83% of the pediatric calcaneal fractures were complicated with other fractures. There were 85 cases in group A and 79 cases in group B, respectively accounting for 15.43% （85/551） and 15.08% （79/524） of the contemporary pediatric foot fractures, and 0. 86% （85/9, 844） and 0.88% （79/8, 987） of all the contemporary pediatric fractures. There were no significant differences between the 2 groups （ P 〉 0. 05） . There were no significant differences between the 2 groups either in the fracture constituent ratio, Essex-Lopresti classification, the constituent ratio of single calcaneal fracture, or the constituent ratio of fall injury （ P 〉 0. 05） . Conclusions In the decade from 2003 through 2012 in our hospital, pediatric calcaneal fractures accounted for 15.26% of the pediatric foot fractures and 0. 87% of all the pediatri

关 键 词：跟骨骨折 流行病学 儿童 年龄分布 

分 类 号：R726.8[医药卫生—儿科]