2008年至2012年河北医科大学第三医院成人肱骨远端骨折的流行病学研究  

Epidemiological survey of adult distal humeral fractures in the Third Affiliated Hospital to Hebei Medical University from 2008 through 2012

作　　者：杨延江[1] 郭家良[1] 杨宗酉[1] 陈伟[1] 张如云[1] 刘磊[1] 孙家元[1] 殷兵[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医科大学第三医院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3期237-240,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨河北医科大学第三医院收治的成人肱骨远端骨折的流行病学特征。方法回顾性分析2008年1月至2012年12月河北医科大学第三医院诊治的肱骨远端骨折患者资料，将患者按照年龄分为青壮年（16—60岁）和老年（961岁），记录并分析两组患者的性别、年龄、骨折AO分型、合并骨折及致伤原因等资料。结果共收治成人肱骨远端骨折患者540人542例骨折，占成人肱骨骨折的23．69％（542／2288），占全身骨折的1．04％（542／52225）。其中男340例，女200例，男女比为1．70：1；年龄16．90岁，中位年龄为37岁。青壮年451例（83．21％），老年91例（16．79％）。青壮年组以男性为主（70．51％），而老年组以女性为主（73．63％）。AO分型多为13．A型骨折，占50．00％。23．89％的肱骨远端骨折患者伴有其他部位骨折，以青壮年（86．82％）和高能量损伤（75．19％）为主。51．71％的青壮年住院患者由高能量损伤所致。结论成人肱骨远端骨折以青壮年男性常见，多由高能量损伤所致，关节内骨折较多；老年患者以女性为主，多由低能量损伤所致，关节外骨折较多。Objective To describe the epidemiology features of adult distal humeral fractures in the Third Affiliated Hospital to Hebei Medical University from 2008 through 2012. Methods The data of adult distal humeral fracture from January 2008 through December 2012 were collected at our institute through the PACS system and case reports checking system. The patients were divided into a young and middle-aged group （from 16 to 60 years） and a senile group （older than 60 years）. The 2 groups were analyzed in terms of gender, age, AO classification, concomitant fracture and causes. Results A total of 540 patients with 542 distal humeral fractures were collected, accounting for 23.69% （542/2,288） of adult humeral fractures, and 1.04% （542/52, 225） of human fractures. There were 340 men and 200 women, yielding a male to female ratio of 1.70 ： 1. Their ages ranged from 16 to 90 years, with a mean age of 37 years. Of them, 451 （83.21%） were young and middle-aged while 91 （16. 79% ） senile. In the young and middle-aged group, 70. 51% were males; in the senile group, 73.63% were females. By AO classification, 50. 00% of the fractures were type 13-A. 23.89% of the patients were associated with other fractures most of which occurred in the young and middle-aged （86. 82% ） and were high-energy injury （75. 19% ）. 51.71% of the young and middle-aged patients admitted to hospital suffered from high energy injury. Conclusions From 2008 through 2012, adult distal humeral fractures favored mainly young and middle-aged patients. They were chiefly caused by high-energy injury. Most of them were intra-artieular ones. The senile patients were mainly female, and their fractures were chiefly caused by low-energy injury and mostly extra-articular ones.

关 键 词：肱骨骨折 流行病学 年龄分布 成年人 

分 类 号：R683[医药卫生—骨科学]