摘要
目的探讨10年期间河北医科大学第三医院成人髋臼骨折的流行病学特征及变化趋势。方法回顾性分析2003年1月至2012年12月期间河北医科大学第三医院收治的成人髋臼骨折患者资料，记录患者的性别、年龄、骨折AO分型及Letournel—Judet分型等。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年期间成人髋臼骨折的流行病学特征及变化趋势。结果共统计1020例成人髋臼骨折患者，占同期成人骨盆与髋臼骨折的19．69％（1020／5181），占同期成人全身骨折的0．95％（1020／107648）。男801例，女219例，男女比为3．66：1；骨折高发年龄段为31～40岁（27．25％）；高发骨折类型：AO分型为62．A型（63．53％），Letournel-Judet分型为后壁骨折（30．81％）。A组成人髋臼骨折477例，男391例，女86例，男女比为4．55：1；平均年龄为（38．6±13．0）岁。B组543例，男410例，女133例，男女比为3．08：1；平均年龄为（43．8±14．4）岁。与A组相比，B组患者男女比降低，平均年龄增高，62．C型骨折患者比例升高，Letoumel—Judet分型基本型骨折所占比例升高，差异均有统计学意义（P〈0．05）。结论成人髋臼骨折的高发年龄段为31～40岁，男性多于女性，髋臼骨折类型AO分型以62-A型为主，Letournel-Judet分型以后壁骨折为主。与前5年相比，后5年女性和老年患者、62-C型骨折及Letournel-Judet分型基本型骨折患者所占比例呈增加趋势。
Objective To analyze the epidemiological features and trends of adult acetabular fractures from 2003 through 2012 in our hospital. Methods The data of adult acetabular fractures from January 2003 through December 2012 at our hospital were collected though the PACS system and the case records review system. The data between 2003 and 2007 were assigned into group A and those between 2008 and 2012 into group B. The 2groups were compared in terms of gender, age, age distribution, type of AO classification and type of Letournel-Judet classification. Results A total of 1,020 adult acetabular fractures were collected, accounting for 19.69% （1,020/5, 181） of adult pelvic and acetabular fractures, and 0.95% （1,020/107, 648） of total adult fractures during the same time. They involved 801 males and 219 females, with a male/female ratio of 3.66： 1. The peak age ranged from 31 to 40 years （27.25%）; the predominant AO type was 62-A （63.53%） and the predominant Letournel-Judet classification was posterior wall fractures （30.81%）. In group A, there were 477 cases （391 males and 86 females）, the male/female ratio was 4. 55：1 and the mean age 38.6 ± 13.0 years. In group B, there were 543 cases （410 males and 133 females）, the male/female ratio was 3.08：1 and the mean age 43.8 ± 14.4 years. Compared with group A, group B had a significantly lower male/female ratio, a significantly higher mean age, and significantly larger proportions of AO type 62-C and Letournel-Judet basic classificafion （ P 〈 0.05） . Conclusions The epidemiological characteristics and trends of adult proximal humeral fractures treated at our hospital between 2003 and 2012 are as follows： the peak age was from 31 to 40 years; there were more male patients than female ones; the predominant AO type was 62-A and the predominant Letournel-Judet classification was pos- terior wall fractures; compared with the first 5 years, there were more female and elderly patients and the proportions of AO type 62-C and Letournel-Judet b
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2015年第11期972-976,共5页
Chinese Journal of Orthopaedic Trauma
关键词
髋臼
骨折
流行病学
年龄分布
成年人
Acetabulum
Fractures, bone
Epidemiology
Age distribution
Adult
