摘要
目的探讨10年期间河北医科大学第三医院成人骨盆骨折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骨盆骨折患者资料，记录患者的性别、年龄、骨折AO分型及Young．Burgess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10年期间成人骨盆骨折的流行病学特征及变化趋势。结果共统计4161例骨盆骨折，占同期成人骨盆与髋臼骨折的80．31％（4161／5181），占同期成人全身骨折的3．87％（4161／107648）。男1932例，女2229例，男女比为1：1．15；骨折高发年龄段为31．40岁；骨折高发类型：AO分型为61-A型，Young-Burgess分型为Lc型。A组成人骨盆骨折1847例，男女比为1：1．01；平均年龄40．9岁。B组2314例，男女比为1：1．28；平均年龄44．0岁。两组眭别构成比和年龄分布比较差异均有统计学意义（P〈0．05）。两组均是青年（16—40岁）最多，中年（41～60岁）次之，老年（〉61岁）最少，三组间两两比较差异均有统计学意义（P〈0．05）。两组AO高发骨折分型均为61．A型，61．B型次之，61-C型最少，其中均以61-A2亚型最多。A组Young—Burgess高发骨折分型为APC型，B组为LC型。结论成人骨盆骨折高发年龄段为31～40岁，女性多于男性，骨盆骨折类型以A0分型61-A型为主，Young—Burgess分型以LC型为主。与前5年相比，后5年患者年龄，女性患者及LC型骨折呈增加趋势。
Objective To analyze the epidemiological features and trends of adult pelvic fractures in The Third Affiliated Hospital to Hebei Medical University from 2003 through 2012. Methods The data of adult pelvic fractures from January 2003 through December 2012 at our hospital were collected though the PACS system and the case reeords review system. The data between 2003 and 2007 were assigned into group A and those between 2008 and 2012 into group B. The 2 groups were compared in terms of gender, age, age distribution, type of AO classification and type of Young-Burgess classification. Results A total of 4, 161 adult pelvic fractures were collected, accounting for 80. 31% （4, 161/5, 181） of adult pelvic ring and ae- etabular fractures and 3.87% （4, 161/107,648） of adult fractures during the same period. They involved 1,932 males and 2,229 females, giving a male/female ratio of 1： 1.15. The fractures peaked at an age range from 31 to 40 years. The most common fractures were type 61-A2 by AO classification and type LC by Young-Burgess classification. In group A, there were 1,847 cases, with a male/female ratio of 1：1.01 and an average age of 40. 9 years. In group B, there were 2, 314 cases, with a male/female ratio of 1：1.28 and an average age of 44.0 years. There were significant differences between the 2 groups in male/female ratioand average age （ P 〈 0. 05）. In both groups, young patients （from 16 to 40 years） were the most, followed by the middle-aged ones （from 41 to 60 years） and the senior （ 〉 60 years）, showing a significant difference between any 2 of the 3 age groups （ P 〈 0. 05）. By AO classification, the high-risk type of fracture was 61-A in both groups, followed by type 61-B and type 61-C, with the subtype 61-A2 the most predominant. By Young-Burgess classification, the high-risk type of fracture was type APC in group A and type LC in group B. Conclusions The peak age of adult pelvic fractures was from 31 to 40 years. There were more female patients than male ones.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2016年第7期607-611,共5页
Chinese Journal of Orthopaedic Trauma
关键词
骨盆骨折
流行病学
性别分布
年龄分布
Pelvic fractures
Epidemiology
Sex distribution
Age distribution
