2010-2011年我国西南地区11所医院60岁以上股骨颈骨折患者的流行病学特征分析  

Epidemiological analysis of femoral neck fractures in patients over 60 years in Southwest China from 2010 to 2011

作　　者：李佳[1] 刘勃[1] 董天华[1] 陈伟[1] 于沂阳 张飞[1] 陈霄[1] 杨光[1] 张英泽[1] Li Jia;Liu Bo;Dong Tianhua;Chen Wei;Yu Yiyang;Zhang Fei;Chen Xiao;Yang Guang;ZhangYingze(The Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University,Orthopaedic Reserch Institute of Hebei Province, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Shijiazhuang 050051, China)

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：《中华老年骨科与康复电子杂志》2017年第2期116-119,共4页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：首批“河北省青年拔尖人才”项目资助;国家自然科学基金青年科学基金(81401789);河北省高等学校自然科学青年拔尖人才项目(BJ2016035);河北省高层次人才资助项目“三三三人才工程”人才培养资助(A201400156)

摘　　要：目的分析我国西南地区老年股骨颈骨折临床特征。方法利用医学影像计算机存档与传输系统及病案查询系统收集我国西南地区11所医院2010年1月至2011年12月诊治的所有60岁以上股骨颈骨折患者资料,记录并比较其性别、年龄构成及骨折分型等指标,分析2年间西南地区60岁以上股骨颈骨折患者的流行病学特征。结果共收集病例992例,其中男性338例(34.07%),女性654例(65.93%),男女比为1∶1.93,平均年龄(76±8)岁。71~80岁患者所占比例最高(462例,46.57%),右侧(487例,49.1%)多于左侧(505例,50.9%)。AO分型中,31-B2型骨折(465例,46.9%)占比最高,Garden分型为GardenⅢ型(728例,73.4%)占比最高。结论西南地区60岁以上股骨颈骨折以女性多见,71~80岁患者居多,31-B2型及GardenⅢ型骨折构成比较高。Objective To investigate the epidemiological characteristics of patients over 60 years with femoral neck fractures in southwest China. Methods Data of patients over 60 years with femoral neck fractures treated in 11 hospitals in southwest China from January 2010 to December 2011 were collected through the PACS system and case reports checking system, data including gender, age, AO and Garden classification were analyzed to manifest the epidemiologic characteristics of femoral neck fracture in two years at southwest China. Results A total of 992 cases were included. There were 338 males (34.07%) and 654 (65.93%) females (M/F=1∶1.93) with an average of (76±8) years. The highest proportion of age group were patients between 71-80 years (462/992, 46.57%). Right fractures (487cases, 49.1%) were more than the left side (505 cases, 50.9%). The dominant fracture type was 31-B2 (465/990, 46.88%) and GardenⅢ (728/992, 73.39%). Conclusion The epidemiological characteristics of patients over 60 years with femoral neck fractures in southwest China were female and the highest proportion were 71-80 years. The most frequent fractures type was 31-B2 or GardenⅢ fracture.

关 键 词：股骨颈骨折 流行病学 性别分布 年龄分布 骨折分型 

分 类 号：R683[医药卫生—骨科学]