2008年至2012年河北医科大学第三医院浮肘损伤的流行病学研究  

Epidemiological survey of adult floating elbow injury in the Third Affiliated Hospital to Hebei Medical University from 2008 through 2012

作　　者：张飞[1] 陈伟[1] 田野[1] 陈霄[1] 刘勃[1] 朱燕宾 刘松[1] 殷兵[1] 孙家元[1] 刘磊[1] 杨光[1] 杨宗酉[1] 张英泽[1] 

机构地区：[1]河北医科大学第三医院骨科,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》2016年第1期57-60,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的分析河北医科大学第三医院5年间诊治的成人浮肘损伤的流行病学特点。方法回顾性收集河北医科大学第三医院2008年1月至2012年12月间诊治的浮肘损伤患者资料，记录患者的年龄、性别、损伤类型及合并骨折等数据。结果5年间共诊治浮肘损伤188例，占同期全身骨折的0．31％，占同期肱骨骨折的4．07％，占同期尺桡骨骨折的2．15％。男116例，女72例。≤50岁的患者占79．79％，男性多于女性，其中11～20岁年龄段患者相对较少。〉50岁的患者女性较多，占50岁以上患者的65．79％。57例（30．32％）合并121处其他部位骨折，其中31例合并手部骨折，22例合并胫腓骨骨折，15例合并股骨骨折等。浮肘损伤根据自行定义的分型标准：Ⅰ型112例，多见于41—50岁年龄段；Ⅱ型骨折76例，多见于1～10岁和21～30岁年龄段。Ⅱ型中Ⅱc型最少（16例），但在31～40岁年龄段患者中最常见。51—60岁年龄段Ⅱ型骨折患者以Ⅱb型最常见，其余年龄段患者以Ⅱa型最常见。Ⅱa型骨折患者男女比最低，Ⅱb型骨折患者的男女比最高。结论浮肘损伤常见小于50岁的男性患者，常合并手部骨折和胫腓骨骨折。根据自行定义的浮肘损伤分型标准，Ⅰ型骨折多见，Ⅱ型中以Ⅱa型骨折最常见。Objective To analyze the epidemiological features of floating elbow injury from 2008 through 2012 at our hospital. Methods The clinical data of adult patients with floating elbow injury were collected who had been treated at our hospital from January 2008 to December 2012. The acute, pathological and periprosthetic fractures were excluded. The analytical items were gender, age, concomitant fracture and fracture classification. Results A total of 188 cases of floating elbow were collected. The floating elbow accounted for 0. 31% of all the contemporary human fractures, 4.07% of the contemporary humeral fractures and 2. 15% of the contemporary ulnar and radial fractures. Of them, 116 were male and 72 female. 79.79% of the patients were less than 50 years old, and most of them were male, but those aged from 11 to 20 years were proportionally fewer. 65.79% of the patients older than 50 years old were female. 57 （30. 32% ） patients were complicated with 121 other fractures. Thirty-one of them had concomitant hand fracture, 22 of them tibiofibular fracture, and 15 femoral fracture. According to our classification criteria, 112 patients with floating elbow were of Type Ⅰ, most of whom were aged from 41 to 50 years; 76 were of type Ⅱ, most of whom were aged from 1 to 10 years and from 21 to 30 years. Of the patients with type Ⅱ fracture, only 16 belonged to type Ⅱc, and most of them were aged from 31 to 40 years. Type Ⅱb fractures were predominant in patients aged from 51 to 60 years while type Ⅱa prevailed in other age groups. The ratio of male to female was the highest in type Ⅱa fractures but the lowest in type Ⅱb ones. Conclusions Floating elbow injury was common in males younger than 50 years old. Patients with floating elbow were often complicated with hand or tibiofibular fracture. According to the classification system proposed by us, most floating elbow injury belonged to type Ⅰ, and most type Ⅱ fractures were type Ⅱa.

关 键 词：肘 损伤 流行病学研究 

分 类 号：R683[医药卫生—骨科学]