摘要
目的探讨10年期间河北医科大学第三医院成人骰骨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成人骰骨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年蚶问成人骰骨骨折的流行病学特征及变化趋势。结果共统计259例成人骰骨骨折患者，占同期成人跗骨骨折的4．45％，占同期成人足部骨折的1．86％，占同期成人全身骨折的0．24％。男181例，女78例，男女比为2．32：1；骨折高发年龄段为21—30岁（23．55％），高发骨折类型为84-A型（69．50％）。A组87例，男女比为2．00：1；B组172例，男女比为2．51：1，两组患者男女比比较差异无统计学意义（P〉0．05）。A组与B组患者的中位年龄分别为35．0、42．0岁，差异有统计学意义（P〈0．05）。与A组比较，B组成人骰骨骨折占同期成人跗骨骨折、足部骨折及全身骨折的比例均升高，B组16—20岁年龄段患者所占比例下降，84．B型骨折患者所占比例升高，差异均有统计学意义（P〈0．05）。结论成人骰骨骨折高发每年龄段为21—30岁，高发骨折类型为8和A型。与前5年比较，后5年16—20岁年龄段患者所占比例下降，84．B型骨折患者所占比例升高，中位年龄增高，骰骨骨折占同期成人跗骨骨折、足部骨折及全身骨折的比例呈升高趋势。
Objective To investigate the epidemiological characteristics and trends of adult cuboid fractures in our hospital from 2003 through 2012. Methods The clinical data were retrospectively analyzed of all the adult patients with cuboid fracture who were treated between January 2003 and December 2012 at our institute. The patients＇ age, gender, fracture site and AO classification were documented. The data between January 2003 and December 2007 were assigned into group A while those between January 2008 and December 2012 into group B. The epidemiological characteristics concerning age, gender and fracture type were compared between the 2 groups. Results During the 10 years, 259 cuboid fractures were treated, involving 181 males and 78 females, with a male to female ratio of 2.32： 1. They accounted for 4.45% of the contemporary adult tarsal fractures, 1.86% of the contemporary adult foot fractures, and 0. 24% of the contemporary adult systemic fractures. Their peak ages ranged from 21 to 30 years（23.55% ）. The most frequent fracture type was 84-A （69.50%）. In group A, there were 87 cases, with a male to female ratio of 2. 00：1 and a median age of 35.0 years. In group B, there were 172 cases, with a male/ female ratio of 2.51 ： 1 and a median age of 42. 0 years. There was a significant difference in the mean age between the 2 groups （ P 〈 0. 05）. Compared with group A, group B had significantly higher proportions of cuboid fracture in the contemporary tarsal, foot and systemic fractures, a significantly smaller age group of 16 to 20 years, and a significantly higher proportion of type 84-B （ P 〈 0. 05） . Conclusions During the 10 years in our hospital, the peak age of adult cuboid fracture ranged from 21 to 30 years. The most common fracture type was 84-A. compared with the first 5 years, the second 5 years witnessed a decreased proportion of patients of 16 to 20 years old, increased proportion of type 84-B, increased median age, and increased proportions of cuboid fracture in the contemporary tarsal, foot and systemic fractures.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2016年第5期412-415,共4页
Chinese Journal of Orthopaedic Trauma
基金
河北省重大医学科研课题（zd2013024）
关键词
跗骨
骰骨
骨折
流行病学
成年人
Tarsal bones
Cuboid bones
Fractures, bone
Epidemiology
Adult
