2006年至2015年第四军医大学第一附属医院成人胫骨平台骨折的流行病学研究  

Epidemiological study of adult tibial plateau fractures in the First Affiliated Hospital to the Fourth Military Medical University from 2006 through 2015

作　　者：刘勇[1] 廖政文 张大伟 黄文华[2] 裴国献 

机构地区：[1]第四军医大学第一附属医院骨科,西安710032 [2]南方医科大学基础医学院人体解剖学教研室,广州510515

出　　处：《中华创伤骨科杂志》2016年第10期869-873,共5页Chinese Journal of Orthopaedic Trauma

基　　金：国家高技术研究发展计划（2012AA02A603）

摘　　要：目的研究9年期间第四军医大学第一附属医院成人胫骨平台骨折的流行病学特征及其变化趋势。方法回顾性分析2006年9月至2015年8月第四军医大学第一附属医院收治的成人胫骨平台骨折患者资料，2006年9月至2009年8月收治的患者资料定为A组，2009年9月至2012年8月收治的患者资料定为B组，2012年9月至2015年8月收治的患者资料定为C组。记录患者年龄、性别、收治时间和骨折AO／OTA分型，总结成人胫骨平台骨折的流行病学特征及其变化趋势。结果共收集336例成人胫骨平台骨折。A组72例，B组106例，C组158例。15～29岁年龄段66例，30-44岁年龄段111例，45-59岁年龄段114例，≥60岁年龄段45例。男232例，女104例，男女比为2．23：1。41-B型、41-C型骨折分别为235例、101例，骨折比为2．33：1。41-B型骨折和41-C型骨折的构成比在不同时间段、不同年龄段和男女患者间的差异均无统计学意义（P〉0．05），不同时间段收治患者各年龄段的构成比、男女性别比差异均无统计学意义（P〉0．05），而不同年龄段患者的男女比差异有统计学意义（P〈0．05）。结论2006年9月至2015年8月第四军医大学第一附属医院收治的成人胫骨平台骨折患者人数呈上升趋势，骨折以41-B型骨折为主，男性较女性高发，人群高发年龄段为30—59岁，≥60岁年龄段患者的男女比小于30-44岁和45-59岁年龄段患者。Objective To investigate the epidemiological characteristics and trends of adult tibial plateau fractures in The First Affiliated Hospital to The Fourth Military Medical University in 9 years. Methods We retrospectively analyzed the clinical data of adult tibial plateau fractures which had been treated in The First Affiliated Hospital to The Fourth Military Medical University from September 2006 through August 2015. The patients from September 2006 to August 2009 were assigned into group A, those from September 2009 to August 2012 into group B and those from September 2012 to August 2015 into group C. The patients＇ age, gender, admission period and fracture AO/OTA type were recorded. The general epi- demiological characteristics and trends of adult tibial plateau fractures were summarized. Results A total of 336 adult tihial plateau fractures were collected. There were 72 cases in group A, 106 ones in group B and 158 ones in group C. There were 66 cases in the age group of 15 to 29 years, 111 ones in the age group of 30 to 44 years, 114 ones in the age group of 45 to 59 years, and 45 ones in the age group of ≥ 60 years. The fractures involved 232 males and 104 females, with a male to female ratio of 2.23： 1. There were 235 type 41-B fractures and 101 type 41-C ones, giving a ratio of 41-B to 41-C of 2. 33： 1. The ratio of 41-B to 41-C did not differ significantly between admission periods, age groups or genders （ P 〉 0. 05）. There was no significant difference either in constituent ratios of age groups or constituent ratios of genders between different admission periods （ P 〉 0.05） . However, the difference in constituent ratios of genders was significant between different age groups （ P 〈 0.05）. Conclusions The incidence of adult tibial plateau fractures increased from September 2006 to August 2015 in The First Affiliated Hospital to The Fourth Military Medical University. Most of the fractures were of AO/OTA type 41-B. There were more male patients than female ones. The fractures peake

关 键 词：膝关节 骨折 流行病学研究 性别分布 年龄分布 

分 类 号：R683[医药卫生—骨科学]