摘要
目的探讨10年期间河北医科大学第三医院肱骨髁间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收治的肱骨髁间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AO分型等数据。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年期间肱骨髁间骨折的流行病学特征及变化趋势。结果共统计303例肱骨髁间骨折患者，占同期肱骨远端骨折的5．29％，占同期肘部骨折的3．39％，占同期全身骨折的0．24％。男197例，女106例，男女比为1．86：1。高发年龄段为青壮年，占63．70％；成人肱骨髁间骨折高发类型为13-C2型（44．00％）。A组171例，B组132例，分别占同期肱骨远端骨折的5．40％、5．17％，占同期肘部骨折的3．72％、3．05％，占同期全身骨折的0．26％、0．22％，以上项目两组之间比较差异均无统计学意义（P〉0．05）。A、B组患者男女比分别为1．44：1、2．67：1，青壮年患者构成比分别为58．48％、70．45％，13-C1型骨折构成比分别为35．83％、18．10％，13．C3型骨折构成比分别为14．17％、44．76％，以上项目两组之间比较差异均有统计学意义（P〈0．05）。结论肱骨髁问骨折多见于青壮年人群，男性约是女性的2倍。与前5年相比，后5年患者男女比、青壮年及13-C3型骨折患者构成比均升高，而13-C1型骨折患者构成比降低。
Objective To investigate the epidemiological features and trends of humeral inter- condylar fractures at our hospital from 2003 through 2012. Methods The clinical data were retrospec- tively analyzed of all the patients with humeral intercondylar fracture who had been treated between January 2003 and December 2012 at our institute. The patients＇ age, gender, fracture site and AO classification were documented. 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 303 humeral intercondylar fractures were recorded, accounting for 5.29% of the distal humeral fractures, 3.39% of the elbow fractures and 0. 24% of the total fractures at the same period. They involved 197 males and 106 females, with a male/female ratio of 1.86： 1. The high-risk age group was adolescent and middle-aged adults, accounting for 63.70%. The high-risk type was type 13-C2, accounting for 44.00%. There were 171 and 132 cases in group A and group B, accounting for 5.40% and 5. 17% of the contemporary distal humeral fractures, 3.72% and 3.05% ofthe contemporary elbow fractures, and 0. 26% and 0. 22% of all the contemporary fractures, respectively, showing no significant differences between the 2 groups （ P 〉 0.05）. In groups A and B respectively, the male/female ratios were 1.44：1 and 2.67： 1, the proportions of adolescents and the middle-aged 58.48% and 70. 45% , the proportions of type 13-C1 35.83% and 18.10%, and the proportions of type 13-C3 14. 17% and 44.76%, showing significant differences between the 2 groups in all the above comparisons （ P 〈 0.05） . Conclusion The humeral intercondylar fractures were common in the adolescent and middle-aged patients, with a male predominance （about twice more in males） . Compared with the first five years, the latter 5 years witnessed increased proportions of males, adolescent a
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2017年第2期146-150,共5页
Chinese Journal of Orthopaedic Trauma
基金
河北省医学科学研究重点课题计划（20150734）
关键词
肱骨骨折
流行病学
年龄分布
性别分布
Humeral fractures
Epidemiology
Age distribution
Sex distribution
