CAJ | 학술논문

目的了解手部骨折的构成、分布及其影响因素.方法对2005年4月1日-9月30日就诊的手外伤患者进行问卷调查,对其中发生手部骨折的患者进行分析.结果 5 234例手外伤患者中1797例发生手部骨折,共涉及2 259块骨,其中指骨骨折1 721块(76.2%),掌骨骨折468块(20.7%),腕骨骨折70块(3.1%).患者平均(30.9±9.4)岁,20～50岁常见;男女性别比为5.4:1;职业性损伤占58.3%,道路交通伤占21.7%,家庭生活伤12.2%,在娱乐场受伤占3.4%,运动伤占3.4%.其中73.0%为开放性损伤,27.0%为闭合性损伤.结论手部骨折主要发生在青壮年男性,以职业性损伤多见.
목적 료해수부골절적구성、분포급기영향인소.방법 대2005년4월1일-9월30일취진적수외상환자진행문권조사,대기중발생수부골절적환자진행분석.결과 5 234례수외상환자중1797례발생수부골절,공섭급2 259괴골,기중지골골절1 721괴(76.2%),장골골절468괴(20.7%),완골골절70괴(3.1%).환자평균(30.9±9.4)세,20～50세상견;남녀성별비위5.4:1;직업성손상점58.3%,도로교통상점21.7%,가정생활상12.2%,재오악장수상점3.4%,운동상점3.4%.기중73.0%위개방성손상,27.0%위폐합성손상.결론 수부골절주요발생재청장년남성,이직업성손상다견.
Objective To study the composition, distribution and influencing factors of hand fractures. Methods Patients with acute hand injuries who were referred and treated between April 1 and September 30, 2005 were investigated by questionnaire. Data from patients with hand fractures were analyzed. Results There were 1797 patients with hand fractures among 5234 hand injury patients, with a total of 2259 bones involved. There were 1721 (76.2%) phalangeal fractures, 468 metacarpal fractures (20.7%), and 70 carpal fractures (3.1%). Patients' age was (30.9 ±9.4) years in average mostly between 20 to 50 years. The male to female ratio was 5.4:1. Occupational hand injures accounted for 58.3% of the cases, 21.7% were caused by traffic accidents, 12.2% were domestic injuries 3.4% at leisure places, and 3.4% sports injuries. 73.0% of the patients had open injuries while the rest 27.0% were close injuries. Conclusion The majority of hand fractures occurred in male adults and most of them were occupational hand injures. Prevention should be emphasized.