摘要
目的对比分析我国云贵高原和四川盆地成人胫骨平台患者的流行病学特征.方法利用医学影像计算机存档与传输系统（picture achiving and commmunication system,PACS）及病案查询系统整理纳入2010 年1 月至2011 年12 月云贵高原5 所医院（〉 1 000 m）和四川盆地5 所医院（〈 500 m）诊治的成人胫骨平台患者,对比两组患者的年龄构成、性别、损伤类型（AO分型、Schatzker 分型）分布情况.结果纳入633 例成人胫骨平台患者中,40 ～ 44 岁所占比例最高,其中男40 ～ 44 岁,女55 ～ 59 岁.云贵高原组占比较高年龄段为40 ～ 44 岁,男40 ～ 44 岁,女55 ～ 59 岁;四川盆地组占比较高年龄段为55 ～ 59 岁,男40 ～ 44 岁,女55 ～ 59 岁,差异有统计学意义（χ2=30.829,P 〈 0.01）.云贵高原组患者362 例,男277 例,女85 例,男女比为3.26 ︰ 1;四川盆地组271 例,男156 例,女115 例,男女比为1.36 ︰ 1,两组男女构成比比较,差异具有统计学意义（χ2=25.763,P 〈 0.01）.两组患者的AO 分型中41-B 型所占比例最高,云贵高原组41-B型168 例,41-C 型183 例,41-B3 型所占比例最高（84 例,23.2%）,四川盆地组41-B 型194 例,41-C 型88 例,41一B2 型所占比例最高（63 例,23.3%）,两组比较差异有统计学意义（χ2=27.981,P〈 0.01）.两组患者Schatzker 分型中S6型所占比例最高,且云贵高原组（42.8%）高于四川组（23.2%）,差异有统计学意义（χ2=59.439,P 〈 0.01）.结论高原和盆地的胫骨平台骨折多见于男性壮年,在高原地区的高发年龄小于盆地地区.
ObjectiveTo compare and analyze the epidemiological features and differencesof adult tibial plateau fractures in Yunnan-Guizhou plateau and Sichuan basin. MethodsAdults oftibial plateau fractures treated between January 2010 to December 2012 in 5 hospitals located at Yunnan-Guizhou Plateau （〉1 000 m） and another 5 hospitals at Sichuan Basin （〈500 m）, data were collected andanalyzed retrospectively through the PACS system and case reports checking system. Information includedgender, age distribution and type of AO and Schatzker classification. Comparison and analysis were done inboth groups. ResultsA total of 633 adult tibial plateau fractures were collected, with the peak age rangingfrom 40 to 44 years （males from 40 to 44 years females from 55-59 years）, Yunnan group sustained the samepeak age while differ from Sichuan group, which was 55 to 59 years （males from 40 to 44 years, females from 55-59 years）, the difference was statistically significant （χ2=30.829, P〈0.01）. Yunnan group included277 males and 85 females, and 156 males and 115 females in Sichuan group, The ratio of male/female were3.26, 1.63 respectively, and the difference was statistically significant （χ2=25.763, P〈0.01）. The overallhigh-risk type of tibial plateau fractures was 41-B. Besides Yunnan group contained 168 41-B cases and 18341-C cases, the dominant subgroup type was 41-B3, accounting 23.2% of total number in Yunnan group.There were 194 41-B cases and 88 41-C cases in Sichuan group, the dominant subgroup type was 41-B2,accounting 23.3% of total number in Sichuan group, the differences were statistically significant （χ2=27.981,P〈0.01）. Comparison of Schatzker classfication showed the dominant type in both groups was S6 and thistype in Yunnan group accounted for 42.8%, higher than Sichuan group （23.2%）, differences between allsix types were statistically significant （χ2=59.439, P〈0.01）. ConclusionsThe current investigation hasimplied the most affected population of adult tibial plateau fra
出处
《中华老年骨科与康复电子杂志》
2016年第2期103-108,共6页
Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)
基金
国家自然科学基金青年科学基金项目(81401789)
河北省卫生厅医学科学研究重点课题(20150284)
关键词
胫骨骨折
性别分布
年龄分布
分型
流行病学
Tibial fractures
Sex distribution
Age distribution
Classification
Epidemiology
