CAJ | 학술논문

目的通过对股骨干骨折病例的流行病学进行分析,比较不同骨折类型及股骨干各节段骨折的性别、年龄、分布特征. 方法选取2010年至201 1年间河北省内4家医院所有股骨干骨折患者的X线片,按骨折AO原则分为简单骨折(32A型)和复杂骨折(32B型和32C型);按骨折区域分为近段骨折、中段骨折、远段骨折和多段骨折.分别统计每组性别及年龄段发病比例,并进行组间对比.结果共采集股骨干骨折患者3 136例,男女比率为1.96∶1,平均(33.7±19.9)岁.简单骨折2 003例,复杂骨折l 133例,两组性别构成比较差异无统计学意义(x2=0.832,P=0.362),年龄段分布比较差异有统计学意义(x2=49.391,P=O.000).简单骨折儿童所占比例(23.5％)高于复杂骨折(15.O％),复杂骨折中年所占比例(25.0％)高于简单骨折(17.3％).近段骨折892例,中段骨折l 243例,远段骨折627例,多段骨折374例.4组性别构成比较差异无统计学意义(x2=6.534,P=0.881),年龄段分布比较差异有统计学意义(x2=263.005,P =0.000).中段骨折青年所占比例(61.4％)高于其他节段,老年所占比例(4.0％)低于其他节段,近段和远段骨折老年所占比例(8.5％和8.6％)高于其他节段. 结论股骨干骨折简单骨折多于复杂骨折,中段骨折要多于其他节段,各种类型男、女发病比率接近于2∶1,各种骨折类型中以青、中年为主.
목적 통과대고골간골절병례적류행병학진행분석,비교불동골절류형급고골간각절단골절적성별、년령、분포특정. 방법 선취2010년지201 1년간하북성내4가의원소유고골간골절환자적X선편,안골절AO원칙분위간단골절(32A형)화복잡골절(32B형화32C형);안골절구역분위근단골절、중단골절、원단골절화다단골절.분별통계매조성별급년령단발병비례,병진행조간대비.결과 공채집고골간골절환자3 136례,남녀비솔위1.96∶1,평균(33.7±19.9)세.간단골절2 003례,복잡골절l 133례,량조성별구성비교차이무통계학의의(x2=0.832,P=0.362),년령단분포비교차이유통계학의의(x2=49.391,P=O.000).간단골절인동소점비례(23.5％)고우복잡골절(15.O％),복잡골절중년소점비례(25.0％)고우간단골절(17.3％).근단골절892례,중단골절l 243례,원단골절627례,다단골절374례.4조성별구성비교차이무통계학의의(x2=6.534,P=0.881),년령단분포비교차이유통계학의의(x2=263.005,P =0.000).중단골절청년소점비례(61.4％)고우기타절단,노년소점비례(4.0％)저우기타절단,근단화원단골절노년소점비례(8.5％화8.6％)고우기타절단. 결론 고골간골절간단골절다우복잡골절,중단골절요다우기타절단,각충류형남、녀발병비솔접근우2∶1,각충골절류형중이청、중년위주.
Objective To characterize various types of femoral shaft fractures (FSFs) and their gender and age distribution.Methods Denographic data and X-ray films were collected for this epidemiological survey from the FSF patients who had been treated from 2010 through 2011 in 4 hospitals in Hebei Province.According to the AO classification,the FSFs were divided into simple ones (type 32A) and complex ones (types 32B and 32C); according to the fracture site,the FSFs were divided into proximal,middle,distal and multi-segmental ones.The gender and age distributions were compared among different types of FSF.Results Clinical data of 3,136 FSF patients were collected.The male to female ratio was 1.96∶1 and their ages averaged 33.7 ± 19.9 years.There were 2,003 cases of simple FSF and 1,133 cases of complex FSF.There was no significant difference between the 2 groups in gender distribution (x2 =0.832,P =0.362) but a significant difference in age distribution (x2 =49.391,P =0.000).The proportion of children in the simple FSF group (23.5％) was higher than in the complex FSF group (15.0％); the proportion of the middle-aged in the complex FSF group (25.0％) was higher than in the simple FSF group (17.3％).There were 892 cases of proximal FSF,1,243 cases of middle FSF,627 cases of distal FSF,and 374 cases of multi-segmental FSF.There was no significant difference in gender distribution among the 4 groups (x2 =6.534,P =O.881) but a significant difference in the age distribution (x2 =263.005,P =0.000).In the middle FSF group,the proportion of young patients (63.2％) was higher than in the other types of FSF while the proportion of elderly patients (4.0％) was lower than in the other types of FSF.The proportions of elderly patients in the proximal (8.5％) and distal (8.6％) groups were higher than in the other types of FSF.Conclusions There are more simple FSFs than complex FSFs,and more FSFs of middle segment than those of the other segments.The male to female ratio of FSF may approximate 2∶ 1.Victims of various types of FSF are chiefly young and middle-aged patients.