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2009-2016年28867例儿童肘部骨折的调查研究 被引量:10

Investigation of 28867 cases of pediatric elbow fractures from 2009 to 2016
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摘要 目的分析儿童肘部骨折病例的发病年龄、性别、季节分布规律以及受伤原因等,为防治儿童肘部骨折提供参考依据。方法收集2009年1月至2016年12月北京积水潭医院收治的年龄≤14岁的儿童肘部骨折病例,回顾分析纳入病例的临床资料。结果共纳入儿童肘部骨折病例28 867例(29 786处),男女比例为1.66∶1。儿童肘部骨折的年龄分布呈高峰在6岁,是典型的单峰曲线。夏季为发病高峰季节。肱骨髁上骨折最常见,占所有骨折的52.05%,其次为肱骨外髁骨折(13.54%)和孟氏骨折(13.16%)。多发骨折1 448处,占所有骨折的4.86%,其中最常见的类型为桡骨颈骨折合并尺骨鹰嘴骨折,占多发骨折的22.44%。最常见的受伤原因为摔伤,其次为运动损伤和坠床。结论儿童肘部骨折的发病高峰年龄为6岁,男孩多见,夏季高发,肱骨髁上骨折是最常见的骨折类型。生活中应警惕摔倒和运动损伤等意外伤害,以减少儿童肘部骨折的发生。 Objective To analysis the characteristics of the age of onset,sex,seasonal distribution and the causes of injuries in the pediatric elbow fractures patients,attempts to provide reference basis for better prevention and treatment. Methods The data of elbow fracture in children under 14 years old in Beijing Jishuitan Hospital from January 2009 to December 2016 were collected and analyzed retrospectively. Results There were 28 867 children with elbow fracture( 29 786 fractures). The age distribution peaked at 6 years with a single peak curve. The male to female ratio was 1. 66 ∶ 1. Summer was the peak season. Humeral supracondylar fracture was the most common fracture,which accounted for 52. 05% of all the fractures,followed by humeral lateral condyle fracture( 13. 54%) and radius neck fracture( 13. 16%). There were1 448 cases with multiple fractures,accounted for 4. 86% in all fractures,in which the most common type of fracture was radial neck fracture with olecranon fracture,accounted for 22. 44% in multiple fractures. The most common cause of injury was falling,followed by sports injuries and falling from beds. Conclusion The peak onset age of elbow fractures in children is 6 years,and is common in boys and frequent in summer. Humeral supracondylar fracture is the most common type of fracture. We should pay attention to prevent children from accidental injuries such as falls and sports injuries in order to reduce the incidence of elbow fracture in children.
作者 张涛 郭源 吕学敏 刘志伟 段芳芳 Zhang Tao;Guo Yuan;Lyu Xuemin;Liu Zhiwei;Duan fangfang(Department of Pediatric Orthopedics,Beijing Jishuitan Hospital,Beijing 100035,China)
出处 《骨科临床与研究杂志》 2018年第4期218-224,共7页 Journal Of Clinical Orthopedics And Research
基金 北京市卫生系统高层次卫生技术人才培养计划(2015-3-032)~~
关键词 骨折 儿童 Fractures,bone Elbow Child
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