中国临床医生
中國臨床醫生
중국림상의생
JOURNAL OF CHINESE PHYSICIAN
2014年
5期
40-42
,共3页
张如云%张奇%杨宗酉%陈伟%刘松%巴托%李富青%王国选%许永能%张建路%张英泽
張如雲%張奇%楊宗酉%陳偉%劉鬆%巴託%李富青%王國選%許永能%張建路%張英澤
장여운%장기%양종유%진위%류송%파탁%리부청%왕국선%허영능%장건로%장영택
回顾性分析%老年%骨折%AO分型
迴顧性分析%老年%骨摺%AO分型
회고성분석%노년%골절%AO분형
Retrospective analysis%Elder people%Fracture%AO classification
目的回顾性分析新疆老年骨折患者损伤特点。方法利用图片存档及通信系统( PACS)和病案查询系统,整理并分析新疆2010年1月至2011年12月诊治的2454例老年骨折患者影像及病历等资料,统计其性别、骨折侧别、年龄、骨折部位和AO分型等数据,并进行分析。结果共调查老年骨折患者2454例,女多于男(男女比例1：1.36),61~70岁患者最多,男性中位年龄高于女性。骨折数最多的骨折部位依次为脊柱(49.07%)、尺桡骨远端(11.02%)及股骨近端(6.97%)。腰胸椎骨折以Denis玉型骨质疏松性压缩骨折为主(54.17%),尺桡骨远端骨折以C型关节内骨折为主(60.42%),股骨近端骨折以A型经转子骨折为主(57.54%)。致伤原因以跌倒为主(61.21%)。结论本次调查揭示了新疆2454例老年骨折患者的损伤特点及致伤原因,预防应主要针对低能量损伤导致的骨质疏松性骨折。
目的迴顧性分析新疆老年骨摺患者損傷特點。方法利用圖片存檔及通信繫統( PACS)和病案查詢繫統,整理併分析新疆2010年1月至2011年12月診治的2454例老年骨摺患者影像及病歷等資料,統計其性彆、骨摺側彆、年齡、骨摺部位和AO分型等數據,併進行分析。結果共調查老年骨摺患者2454例,女多于男(男女比例1：1.36),61~70歲患者最多,男性中位年齡高于女性。骨摺數最多的骨摺部位依次為脊柱(49.07%)、呎橈骨遠耑(11.02%)及股骨近耑(6.97%)。腰胸椎骨摺以Denis玉型骨質疏鬆性壓縮骨摺為主(54.17%),呎橈骨遠耑骨摺以C型關節內骨摺為主(60.42%),股骨近耑骨摺以A型經轉子骨摺為主(57.54%)。緻傷原因以跌倒為主(61.21%)。結論本次調查揭示瞭新疆2454例老年骨摺患者的損傷特點及緻傷原因,預防應主要針對低能量損傷導緻的骨質疏鬆性骨摺。
목적회고성분석신강노년골절환자손상특점。방법이용도편존당급통신계통( PACS)화병안사순계통,정리병분석신강2010년1월지2011년12월진치적2454례노년골절환자영상급병력등자료,통계기성별、골절측별、년령、골절부위화AO분형등수거,병진행분석。결과공조사노년골절환자2454례,녀다우남(남녀비례1：1.36),61~70세환자최다,남성중위년령고우녀성。골절수최다적골절부위의차위척주(49.07%)、척뇨골원단(11.02%)급고골근단(6.97%)。요흉추골절이Denis옥형골질소송성압축골절위주(54.17%),척뇨골원단골절이C형관절내골절위주(60.42%),고골근단골절이A형경전자골절위주(57.54%)。치상원인이질도위주(61.21%)。결론본차조사게시료신강2454례노년골절환자적손상특점급치상원인,예방응주요침대저능량손상도치적골질소송성골절。
Objective To investigate the features of fractures in 2454 elderly people in Xinjiang between January 2010 and December 2011. Method The data of 2454 patients with ankle injury are collected through the PACS sys-tem and case reports checking system, and analyzed. The issues include gender, age, injuried sites and type of AO. Result 2454 patients with ankle injuries are included in the retrospective study. There are more women than men in the group and no difference in side. The age distribution is positive skewness. The largest proportion of pa-tients was between 61 and 70 years old group. Statistical analysis showed that the age distribution was statistically difference in gender. There were no statistical significant differences in side. The number of thoracolumbar vertebral fractures,distal radius fractures and hip fractures was in the top three. These fractures were given priority to with compression fractures, fractures of type A and fractures of type C, respectively. The falls are the major cause of in-jury. Conclusion This investigation revealed the features of fractures in 2454 elderly people in Xinjiang which will help to understand the prevention and treatment of the senile fractures.
