2010年至2011年中国东部地区与西部地区成人胫骨平台骨折的流行病学对比分析  

Epidemiological comparison of adult tibial plateau fractures from 2010 to 2011 between West China and East China

作　　者：于沂阳 常恒瑞 李石伦 杨光[1] 陈霄[1] 刘勃[1] 田野[1] 张飞[1] 董天华[1] 郑占乐[1] 陈伟[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》2017年第10期861-865,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：目的对比分析我国东部地区和西部地区成人胫骨平台骨折的流行病学特征。方法整理纳入2010年1月至2011年12月我国东、西部地区63家医院诊治的成人胫骨平台骨折患者资料，将东部地区35家医院的患者资料定为A组，西部地区28家医院的患者资料定为B组，对比两组患者的年龄构成、性别、损伤类型（Schatzker分型）分布情况。结果共纳入4603例成人胫骨平台患者，41—50岁年龄段所占比例最高，男、女性高发年龄段分别为41。50、51～60岁。A组骨折高发年龄段为51—60岁，B组骨折高发年龄段为41～50岁，两组间高发年龄段差异有统计学意义（P〈0．05）。A组3346例，男2348例，女998例，男女比为2．35：1；B组1257例，男821例，女436例，男女比为1．88：1，两组男女比比较差异有统计学意义（P〈0．05）。两组患者均为Schaztker分型Ⅵ型骨折所占比例最高，其中A组898例，B组411例；Schaztker V型最少，A组214例，B组149例，两组骨折类型构成比比较差异有统计学意义（P〈0．05）。结论东部地区和西部地区的胫骨平台骨折均多见于男性，东部地区患者平均年龄较西部地区高。两个地区均为Schatzker VI型骨折最多。Objective To compare and analyze the epidemiological features of adult tibial plateau fractures from 2010 to 2011 between West China and East China. Methods The data of adult patients with tibial plateau fracture treated from January 2010 to December 2011 in 63 hospitals from West China and East China were collected through the PACS system and case reports checking system. The data of 28 hospitals from West China were classified as West group while the data of 35 hospitals from East China as East group. The analytic items included gender, age, age distribution and type of Schaztker classification. Results A total of 4, 603 adult tibial plateau fractures were collected. The largest age proportion was from 41 to 50 years, with 41 to 50 years in males and 51 to 60 years in females. The highest age proportion in group A was from 51 to 60 years, and that in group B was from 41 to 50 years, showing significant differences between the 2 groups in age distribution （ P 〈 0.05）. There were 3,346 cases in group A, including 2,438 males and 998 females with a male to female ratio of 2. 35： 1; there were 1, 257 cases in group A, including 821 males and 436 females with a male to female ratio of 1.88： 1. There were significant differences between the 2 groups in gender distribution （ P 〈 0. 05）. The high-risk fracture type was Schaztker type VI in both groups, with 898 cases in group A and 411 ones in group B; the lowest fracture type was Schaztker type V in both groups, with 214 cases in group A and 149 ones in group B. There were significant differences between the 2 groups in fracture type ratios （ P 〈 0. 05 ）. Conclusions Adult tibial plateau fractures predominated in males in both East and West China. The average age of the patients from East China was higher than that from West China. The high-risk type was Schaztker type VI in both areas.

关 键 词：胫骨骨折 流行病学研究 小地区分析 性别分布 年龄分布 

分 类 号：R181.3[医药卫生—流行病学] R683[医药卫生—公共卫生与预防医学]