CAJ | 학술논문

目的探讨10年期间河北医科大学第三医院成人髌骨骨折的流行病学特征及变化趋势. 方法回顾性分析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髌骨骨折患者资料,记录患者的性别、年龄、损伤侧别及骨折分型等数据.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年期间成人髌骨骨折的流行病学特征及变化趋势. 结果共统计2 704例(2 723侧)成人髌骨骨折患者,男1 817例(1 833侧),女887例(890侧),男女比为2.05∶1.骨折高发年龄段为41～50岁(24.16％).骨折按AO分型,高发骨折类型为34-C型(81.23％),高发骨折亚型为34-C1型(47.74％);骨折按Regazzoni分型,高发骨折类型为B型(69.34％).A组1 405例(1 413侧),男女比为2.46∶1;平均年龄为(43.1±15.4)岁.B组1 299例(1 310侧),男女比为1.70∶1;平均年龄为(48.6±15.8)岁.与A组比较,B组男女比降低,平均年龄升高,年龄≥51岁的患者明显增多,34-A型骨折患者所占比例升高,34-C型骨折患者所占比例下降,差异均有统计学意义(P＜0.05).结论成人髌骨骨折男性多于女性,骨折高发年龄段为41 ～50岁,高发骨折类型为34-C型,髌骨横形骨折最多见;与前5年比较,后5年患者平均年龄升高,老年患者增多,但关节内骨折所占比例有下降的趋势.
목적 탐토10년기간하북의과대학제삼의원성인빈골골절적류행병학특정급변화추세. 방법 회고성분석2003년1월지2012년12월기간하북의과대학제삼의원수치적성인빈골골절환자자료,기록환자적성별、년령、손상측별급골절분형등수거.장2003년1월지2007년12월적환자자료정위A조,2008년1월지2012년12월적환자자료정위B조,비교량조환자적일반자료,총결출10년기간성인빈골골절적류행병학특정급변화추세. 결과 공통계2 704례(2 723측)성인빈골골절환자,남1 817례(1 833측),녀887례(890측),남녀비위2.05∶1.골절고발년령단위41～50세(24.16％).골절안AO분형,고발골절류형위34-C형(81.23％),고발골절아형위34-C1형(47.74％);골절안Regazzoni분형,고발골절류형위B형(69.34％).A조1 405례(1 413측),남녀비위2.46∶1;평균년령위(43.1±15.4)세.B조1 299례(1 310측),남녀비위1.70∶1;평균년령위(48.6±15.8)세.여A조비교,B조남녀비강저,평균년령승고,년령≥51세적환자명현증다,34-A형골절환자소점비례승고,34-C형골절환자소점비례하강,차이균유통계학의의(P＜0.05).결론 성인빈골골절남성다우녀성,골절고발년령단위41 ～50세,고발골절류형위34-C형,빈골횡형골절최다견;여전5년비교,후5년환자평균년령승고,노년환자증다,단관절내골절소점비례유하강적추세.
Objective To investigate the epidemiological features and trends of adult patellar fractures treated in our hospital during the last 10 years.Methods We retrospectively analyzed the clinical data of adult patients with patellar fracture who had been treated between January 2003 and December 2012 in our hospital.The patients' age,gender and fracture type were documented.The data from January 2003 to December 2007 were put into group A and those from January 2008 to December 2012 into group B.The 2 groups were compared to find out the general epidemiological characteristics and trends of the recent 10 years.Results A total of 2,704 patients with 2,723 patellar fractures were collected,including 1,817 males (1,833 fractures) and 887 females (890 fractures) with a ratio of male to female of 2.05∶ 1.The peak age of the fractures was 41 to 50 years(24.16％).By the AO classification,type 34-C was the most frequent type (81.23％) and 34-C1 the most common subtype (47.74％); by the Regazzoni classification,type B was the most frequent type (69.34％).Group A had 1,405 patients (1,413 fractures),a male/female ratio of 2.46∶1 and a mean age of 43.1 ± 15.4 years; Group B had 1,299 patients (1,310 fractures),a male/female ratio of 1.70∶1 and a mean age of 48.6 ± 15.8 years.Compared with group A,group B had a significantly lower male/female ratio,a significantly higher mean age,significantly higher proportions of the patients ≥ 51 years and type 34-A,and a significantly lower proportion of type 34-C (P ＜ 0.05).Conclusions Male adults had more patellar fractures than female ones.The patellar fractures predominated in patients of 41 to 50 years old.The most frequent type was type 34-C or patellar transverse fractures.Compared with the first 5 years,the second 5 years witnessed an increased mean age,more elderly patients and a decreased incidence of intra-articular fractures.