摘要
目的对比分析我国东部和西部地区肩关节盅骨折的流行病学特征。方法 回顾性分析2010年1月至2011年12月我吲东部地区35所阪院和西部地区28所医院诊治的肩关节盂骨折患者资料，记录患者的性别、年龄和骨折Ideberg分型等数据。将东部地pt35所医院的患者资料定为A组，西部地区28所厌院的患者资料定为B组，对比分析两组患者的一般资料．结果共收集347例肩火节盅骨折患者．男女比为2．69：1；骨折高发年龄段为4l～50岁和5l～60岁（19．60％）；骨折根据ldeberg分型：Ⅰ型75例（21．61％），Ⅱ型152例（43．80％），Ⅲ型27例（7．78％），Ⅳ型20例（5．76％）．Ⅴ型46例（13．26％），Ⅵ型27例（7．78％）。、A组228例，男女比为2．80：1，Ⅲ位年龄47岁；B组119例，舛女比为2．50：1．中他年龄44岁：两组患者男女比、中位年龄、年龄段分布比较差异均无统计学意义（P〉0．05），两组骨折高发年龄段分别为51～60岁和31～40岁，构成比分别为23．68％和21．85%；两组什折高发类型均为Ⅱ型，构成比分别为41．23％和48．74％．两组患者骨折hieberg分型分布比较差异有统汁学意义（P〈0．05）、、结论肩关节盂骨折高发年龄段为4l～60岁，高发类型为Ideberg Ⅱ型，男性多于女性。东部地区Ideberg Ⅴ型骨折构成比高于西部地区。
Objective To compare the epidemiological characteristics of glenoid fractures between the East and west areas in China from 2010 through 2011. Methods The data of glenoid fractures treated bEtwEen January 2010 and December 2011 at 35 east hospitals and 28 west ones in China were analyzed retrospectively. The patients＇ gender, age and type of hteherg classification were documented. THE data from the 35 east hospitals were classified as group A while those from the 28 west ones as group B. Comparisons were made to find out the general epidemiological characteristics. Results A total of 347 glenoid frac-tures were collected. The total male/female ratio was 2.69： 1. The glenoid fractures predominated in 2 age ranges from 41 to 50 years and from 51 to 60 years （ 19.60% ）. According to the hteberg classification, there were 75 eases （21. 61%） of type Ⅰ , 152 ones （43. 80% ） of type Ⅱ, 27 ones （7. 78% ） of type Ⅲ, 20 ones （5. 76% ） of type Ⅳ, 46 ones （13.26%） of type V and 27 ones （7.78%） of type Ⅳ. The male/female ratio was 2. 80：1 in group A of 228 patients and 2.50： Ⅰ in group B of 119 patients. The median age of group A was 47 years old and that of group B 44 years old. The differences were not statistically significant in male/ female ratio, median age or distril）ution of age between the 2 groups （ P 〉 0. 05）. The fractures predominated in the age range from 51 to 60 years old （23.68%） in group A and in the age range from 31 to 40 years old （21.85%） in group B. The most frequent fracture type was type Ⅱ in both groups, accounting for 41.23% and 48.74% respectively. There was a significant difference between the 2 groups in distribution of Ideberg classification （ P 〈 0. 05 ）. Conclusions The peak age of glenoid fractures was from 41 to 60 years, the high-risk type was Ideberg type II and there were more male patients than female ones. The proportion of Ideberg type V in the east area was higher than that in the west area.
作者
刘磊
杨宗酉
孙家元
孙然
张弢
程晓东
杨延江
陈伟
殷兵
刘松
李石伦
张英泽
Liu Lei;Yang Zongyou;Sun Jiayuan;Sun Ran;Zhang Tao;Cheng Xiaodong;Yang Yanjiang;Chen Wei.Yin Bing;Liu Song;Li Shilun;Zhang Yingze(Emergency Center of Trauma,Key Laboratory of Orthopaedic Biomechanics of Hebei Province.Department of Joint Surgery,The Third Affiliated Hospital to Hebei Medical University,Orthopaedic Research Institution of Hebei Province,Shijiazhuang 050051,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2018年第10期901-905,共5页
Chinese Journal of Orthopaedic Trauma
基金
河北省医学科学重点研究课题（20170660）
关键词
肩骨折
流行病学研究
小地区分析
性别分布
年龄分布
Shoulder fractures
Epidemiology studies
Small-area analysis
Sex distribution
Age distribution
