2003年至2012年河北医科大学第三医院成人腕骨骨折的流行病学调查与分析  

Epidemiological analysis of adult carpal fractures at The Third Affiliated Hospital to Hebei Medical University from 2003 through 2012

作　　者：刘松[1] 陈伟[1] 朱燕宾 李彦森[1] 殷兵[1] 王海立[1] 刘磊[1] 孙家元[1] 刘勃[1] 杨宗酉[1] 陈霄[1] 张飞[1] 田野[1] 姬晨妮 李佳[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

出　　处：《中华创伤骨科杂志》2017年第11期973-977,共5页Chinese Journal of Orthopaedic Trauma

基　　金：河北省医学科学研究重点课题（20150734）

摘　　要：目的探讨10年期间河北医科大学第三医院成人腕骨骨折的流行病学特征及变化趋势。方法对2003年1月至2012年12月期间河北医科大学第三医院诊治的成人腕骨骨折患者资料进行回顾性分析，记录患者的性别、年龄及骨折类型等数据。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年期间成人腕骨骨折的流行病学特征及变化趋势。结果共统计1181例成人腕骨骨折患者，占同期手部骨折的5．99％（1181／19712），占同期全身骨折的1．10％（1181／107648）。男967例，女214例，男女比为4．52：1；骨折高发年龄段为21-30岁（33．28％）；腕舟骨骨折构成比最高（72．99％）。A组453例，男女比为6．68：1，中位年龄为29岁，高发骨折类型为腕舟骨骨折（83．89％）；B组728例，男女比为3．70：1，中位年龄为34岁，高发骨折类型为腕舟骨骨折（66．21％）。B组男性患者所占比例和腕舟骨骨折所占比例显著低于A组，中位年龄显著高于A组患者，差异均有统计学意义（P〈0．05）。结论成人腕骨骨折占同期手部骨折的5．99％，占同期全身骨折的1．10％。成人腕骨骨折男性多见，好发于21—30岁；腕舟骨骨折是最常见的腕骨骨折。与前5年比较，后5年骨折患者年龄和女性患者所占比例增高，多发腕骨骨折呈明显增多趋势。Objective To investigate the epidemiological features and trends of adult carpal fractures at The Third Affiliated Hospital to Hebei Medical University from 2003 through 2012. Methods The clinical data were retrospectively analyzed of all the adult patients with carpal fracture who had been treated between January 2003 and December 2012 at our institute. The patients＇ age, gender and fracture type were docu- mented. The data between 2003 and 2007 were classified as group A while the data between 2008 and 2012 as group B. The epidemiological characteristics during the 10 years concerning age, gender and fracture type were compared between the 2 groups. Results A total of 1,181 carpal fractures were collected, ac- counting for 5.99% （1,181/19, 712） of the hand fractures and 1.10% （1,181/107,648） of the total frac- tures in the same period. They involved 967 males and 214 females, with a male/female ratio of 4. 52： 1. The high-risk age group was from 21 to 30 years （33.28%）; the high-risk type was scaphoid fracture （72. 99% ）. In group A of 453 cases, the male/female ratio was 6.68： 1, the median age 29 years and the high-risk type scaphoid fracture （83.89%）. In group B of 728 cases, the male/female ratio was 3.70： 1, the median age 34 years and the high-risk type also scaphoid fracture （66. 21% ）. Group B had a significantly lower male/female ratio, a significantly lower proportion of scaphoid fractures and a significantly older median age than group A （ P 〈 0. 05）. Conclusions In the 10 years at our institute, adult carpal fractures accounted for 5.99% of the hand fractures and 1.10% of the total fractures in the same period. They mostly occurred in males and during the age from 21 to 30 years. Of all the carpal bones, the scaphoid was the most often fractured. The latter 5 years witnessed significantly increased median age, proportion of females and proportion of scaphoid fractures compared with the former 5 years.

关 键 词：腕骨 骨折 流行病学 性别分布 年龄分布 

分 类 号：R683[医药卫生—骨科学]