摘要
目的 对比分析中国西北与东北地区成人颈椎骨折的流行病学特征.方法 收集西北地区和东北地区14家医院2010-2011年诊治的成人创伤性颈椎骨折病例资料,排除病理性、陈旧性骨折和二次骨折.西北地区10家医院患者资料定义为西北组,东北地区4家医院患者资料定义为东北组,对比分析两组患者的性别、年龄、各年龄段骨折例数及骨折AO分型等资料.结果 共收集成人颈椎骨折771例,其中西北组509例,男296例（58.15%）,女213例（41.85%）;东北组262例,男151例（57.63%）,女111例（42.37%）;两组性别差异无统计学意义（χ^2=0.019,P〉0.05）.西北组和东北组患者年龄分别为48（20）岁和57（21）岁,差异有统计学意义（Z=6.405,P〈0.01）.西北组41~50岁年龄段患者最多（26.52%,135/509）,东北组51~60岁年龄段最多（21.76%,57/262）.西北组中青年（16~60岁）和老年（〉60岁）分别有407例（79.96%）和102例（20.04%）,东北组分别为155例（59.16%）和107例（40.84%）,两组比较差异有统计学意义（χ^2=37.873,P〈0.01）.西北组和东北组51.01节段高发类型均为A型,分别有20例（57.14%,20/35）、13例（46.43%,13/28）,差异无统计学意义（χ^2=2.966,P〉0.05）;51.02节段高发类型均为B型,分别有222例（92.50%,222/240）、71例（75.53%,71/94）,差异有统计学意义（χ^2=28.989,P〈0.05）;下颈椎51.03~51.07节段最常见的骨折类型为A型,分别有187例（79.91%,187/234）、80例（57.14%,80/140）,骨折类型构成比差异有统计学意义（χ^2=39.919,P〈0.05）.结论 西北、东北两地成人颈椎骨折均男性多于女性,西北地区41~50岁年龄段最多,东北地区51~60岁年龄段最多,51.01节段A型高发,51.02节段B型高发,下颈椎51.03~51.07节段A型高发.
Objective To compare the epidemiological features of adult cervical fractures between the northwest and northeast China.Methods The data of adult cervical fractures treated from January 2010 to December 2011 in 14 hospitals in the northwest and northeast China were collected through the PACs system and case reports checking system, excluding pathological fractures, old fractures and re-fractures.The data from the 10 hospitals in the northwest China were assigned into the northwest group and the data from the 4 hospitals in the northeast China into the northeast group.The analytic items included gender, age, age distribution and type of AO classification.Results A total of 771 cases were included.There were 509 cases in the northwest group, including 296 males （58.15%） and 213 females （41.85%）, and 262 cases in the northeast group, including 151 males （57.63%） and 111 females （42.37%）, showing no significant difference in gender ratio （χ^2=0.019, P〉0.05）.The median ages of the northwest and northeast groups were 48 years （QR=20） and 57 years （QR=21）, respectively, showing a significant difference （Z=6.405, P〈0.05）.The peak age ranged from 41 to 50 years （26.52%, 135/509） in the northwest group and from 51 to 60 years in the northeast group （21.76%, 57/262）.The proportions of young and middle-aged （from 16 to 60 years old） and elderly （〉60 years old） adults were respectively 407 （79.96%） and 102 （20.04%） in the northwest group, and 155 （59.16%） and 107 （40.84%） in the northeast group, showing significant differences （χ^2=37.873, P〈0.05）.In both groups, the high-risk type of fracture in the 51.01 segment was type 51.01A.There were 20 cases in the northwest group（57.14%, 20/35） and 13 cases in the northeast group （46.43%, 13/28）, with no significant difference （χ^2=2.966, P〉0.05）.The high-risk type of fracture in the 51.02 segment was type 51.02B in both groups.There were 222 cases in the northwest group （92.50%, 222/240）
作者
李石伦
李佳
于沂阳
陈霄
董天华
刘勃
杨光
张飞
张英泽
Li Shilun Li Jia Yu Yiyang Chen Xiao Dong Tianhua Liu Bo Yang Guang Zhang Fei Zhang Yingze(Key Laboratory of Orthopaedic Biomechanics of Hebei Province, the Third Affiliated Hospital to Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China)
出处
《中华解剖与临床杂志》
2017年第2期127-132,共6页
Chinese Journal of Anatomy and Clinics
关键词
脊柱骨折
颈椎
创伤
流行病学
成年人
Spinal fractures
Cervical vertebrae
Trauma
Epidemiology
Adult
