西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
5期
70-73
,共4页
胸腰椎%骨折%流行病学
胸腰椎%骨摺%流行病學
흉요추%골절%류행병학
thoracolumbar vertebra%bone fracture%epidemiology
目的：调查甘肃省中医院1005例胸腰椎骨折病例的流行病学特征。方法：由4人组成调查组入医院病案室调集2011年1月1日至2012年12月31日全部胸腰椎骨折病例，设计调查表对相关因素进行登记，对胸腰椎骨折的流行特征和2年发生情况进行动态分析。结果：共收治胸腰椎骨折1005例，其中男499例，女506例，年龄12～90岁，平均年龄51.8岁；从性别分布看，青壮年时期男性多于女性，中老年时期女性多于男性，胸腰椎骨折的高发人群在46～60岁；仅限于胸腰段椎体骨折（T11～L2）的病例737例，占全部胸腰椎骨折的73.3%；单节段单纯胸腰椎骨折680例，多节段或复合伤325例，占全部胸腰椎骨折的32.3%，合并脊髓或神经损伤146例，占全部胸腰椎骨折的14.5%；骨折的原因以车祸和坠落伤为主，成人体力劳动者为发生率较高的人群。陈旧性骨折108例，新发骨折897例，其中压缩性骨折745例，爆裂骨折120例，骨折脱位12例，屈曲伸展型骨折2例，Chance骨折1例，脊椎附件骨折17例；保守治疗470例，后路手术343例，前路手术5例，球囊椎体成形术76例，内窥镜下手术3例。结论：胸腰椎骨折病例近2年呈上升趋势，且复合伤居多，防治的重点人群为青壮年男性体力劳动者和中老年女性。
目的：調查甘肅省中醫院1005例胸腰椎骨摺病例的流行病學特徵。方法：由4人組成調查組入醫院病案室調集2011年1月1日至2012年12月31日全部胸腰椎骨摺病例，設計調查錶對相關因素進行登記，對胸腰椎骨摺的流行特徵和2年髮生情況進行動態分析。結果：共收治胸腰椎骨摺1005例，其中男499例，女506例，年齡12～90歲，平均年齡51.8歲；從性彆分佈看，青壯年時期男性多于女性，中老年時期女性多于男性，胸腰椎骨摺的高髮人群在46～60歲；僅限于胸腰段椎體骨摺（T11～L2）的病例737例，佔全部胸腰椎骨摺的73.3%；單節段單純胸腰椎骨摺680例，多節段或複閤傷325例，佔全部胸腰椎骨摺的32.3%，閤併脊髓或神經損傷146例，佔全部胸腰椎骨摺的14.5%；骨摺的原因以車禍和墜落傷為主，成人體力勞動者為髮生率較高的人群。陳舊性骨摺108例，新髮骨摺897例，其中壓縮性骨摺745例，爆裂骨摺120例，骨摺脫位12例，屈麯伸展型骨摺2例，Chance骨摺1例，脊椎附件骨摺17例；保守治療470例，後路手術343例，前路手術5例，毬囊椎體成形術76例，內窺鏡下手術3例。結論：胸腰椎骨摺病例近2年呈上升趨勢，且複閤傷居多，防治的重點人群為青壯年男性體力勞動者和中老年女性。
목적：조사감숙성중의원1005례흉요추골절병례적류행병학특정。방법：유4인조성조사조입의원병안실조집2011년1월1일지2012년12월31일전부흉요추골절병례，설계조사표대상관인소진행등기，대흉요추골절적류행특정화2년발생정황진행동태분석。결과：공수치흉요추골절1005례，기중남499례，녀506례，년령12～90세，평균년령51.8세；종성별분포간，청장년시기남성다우녀성，중노년시기녀성다우남성，흉요추골절적고발인군재46～60세；부한우흉요단추체골절（T11～L2）적병례737례，점전부흉요추골절적73.3%；단절단단순흉요추골절680례，다절단혹복합상325례，점전부흉요추골절적32.3%，합병척수혹신경손상146례，점전부흉요추골절적14.5%；골절적원인이차화화추락상위주，성인체력노동자위발생솔교고적인군。진구성골절108례，신발골절897례，기중압축성골절745례，폭렬골절120례，골절탈위12례，굴곡신전형골절2례，Chance골절1례，척추부건골절17례；보수치료470례，후로수술343례，전로수술5례，구낭추체성형술76례，내규경하수술3례。결론：흉요추골절병례근2년정상승추세，차복합상거다，방치적중점인군위청장년남성체력노동자화중노년녀성。
Objective: To explore epidemiological features of 1 005 patients inGansuProvincial Hospital of Traditional Chinese Medicine. Methods: All the cases from January, 1st, 2011 to December, 31st, 2012 were collect-ed by four members of the investigation team, the factors were recorded by the questionnaires, epidemiological fea-tures of thoracolumbar fracture and the conditions in recent two years were analyzed dynamically. Results: All 1 005 cases were admitted, there were 499 male patients and 506 female patients, aged from 12 to 90, average age was 51.8 years old; male was more than female in the young adults, female was more than male in the middle-aged, the main group of thoracolumbar fracture were at the age between 46 and 60 years; there were 737 cases of thoracolum-bar vertebra fracture (T11~L2), and they occupied 73.3%; 680 patients of single-segment thoracolumbar fracture, 325 cases of multisegment or compound wound and they held 32.3%, 146 patients complicated with spinal or nerve in-jury and they occupied 14.5%; the reasons of bone fracture were car accident and falling mainly, adult manual work-ers were with high incidence. There were 108 patients suffering from old fracture, 897 patients with new fracture, a-mong them, there were 745 cases of compression fracture, 120 cases of bursting fractures, 12 cases of fracture and dislocation, two cases of buckling stretch fracture, one case of Chance fracture, 17 cases of spinal accessory fracture; 470 cases adopted conservative therapy, 343 cases with posterior approach, five cases with anterior approach, 76 cases of balloon kyphoplasty, three cases of the surgery under endoscope. Conclusion: The cases of thoracolumbar fracture show a increasing trend in recent two years, and mostly compound wound, the important people of preven-tion are male adult manual workers and middle-aged female.
