中华创伤骨科杂志
中華創傷骨科雜誌
중화창상골과잡지
CHINESE JOURNAL OF ORTHOPAEDIC TRAUMA
2015年
3期
248-250
,共3页
孙家元%崔蕴威%刘磊%张弢%陈伟%杨宗酉%王海立%殷兵%刘松
孫傢元%崔蘊威%劉磊%張弢%陳偉%楊宗酉%王海立%慇兵%劉鬆
손가원%최온위%류뢰%장도%진위%양종유%왕해립%은병%류송
胸椎%腰椎%骨折%流行病学%成年人
胸椎%腰椎%骨摺%流行病學%成年人
흉추%요추%골절%류행병학%성년인
Thoracic vertebrae%Lumber vertebrae%Fractures,bone%Epidemiology%Adult
目的 分析2年间新疆地区4所医院成人胸腰椎骨折的流行病学特征.方法 对2010年1月至2011年12月新疆4所医院收治的成人胸腰椎骨折患者资料进行回顾性分析,记录患者的性别、年龄、损伤节段、OTA分型及Denis分型等数据,总结2年间新疆地区成人胸腰椎骨折的流行病学特征. 结果 共收集2 659例成人胸腰椎骨折患者,男1 374例(51.67％),女1 285例(48.33％),男女比为1.07∶1.骨折高发年龄段为61 ～ 70岁(20 53％);平均年龄为55.9岁.男性骨折高发年龄段为41 ～ 50岁,女性骨折高发年龄段为61 ～70岁,50岁以下患者男性多于女性.骨折根据OTA分型:A型2 298例(86.42％),B型312例(1 1.73％),C型49例(1.84％),男女性高发类型均为A型.骨折根据Denis分型:Ⅰ型1 564例(58.82％),Ⅱ型768例(28.88％),Ⅲ型309例(11.62％),Ⅳ型18例(0.68％),男女性高发类型均为Ⅰ型.胸腰椎骨折高发节段为53.01(25.87％),向头尾两侧呈降低趋势,男、女性分布规律相同. 结论 新疆地区成人胸腰椎骨折占脊柱骨折的88.25％,男性多于女性,61 ～70岁患者、OTA-A型骨折、Denis Ⅰ型骨折及53.01节段骨折最多见.
目的 分析2年間新疆地區4所醫院成人胸腰椎骨摺的流行病學特徵.方法 對2010年1月至2011年12月新疆4所醫院收治的成人胸腰椎骨摺患者資料進行迴顧性分析,記錄患者的性彆、年齡、損傷節段、OTA分型及Denis分型等數據,總結2年間新疆地區成人胸腰椎骨摺的流行病學特徵. 結果 共收集2 659例成人胸腰椎骨摺患者,男1 374例(51.67％),女1 285例(48.33％),男女比為1.07∶1.骨摺高髮年齡段為61 ～ 70歲(20 53％);平均年齡為55.9歲.男性骨摺高髮年齡段為41 ～ 50歲,女性骨摺高髮年齡段為61 ～70歲,50歲以下患者男性多于女性.骨摺根據OTA分型:A型2 298例(86.42％),B型312例(1 1.73％),C型49例(1.84％),男女性高髮類型均為A型.骨摺根據Denis分型:Ⅰ型1 564例(58.82％),Ⅱ型768例(28.88％),Ⅲ型309例(11.62％),Ⅳ型18例(0.68％),男女性高髮類型均為Ⅰ型.胸腰椎骨摺高髮節段為53.01(25.87％),嚮頭尾兩側呈降低趨勢,男、女性分佈規律相同. 結論 新疆地區成人胸腰椎骨摺佔脊柱骨摺的88.25％,男性多于女性,61 ～70歲患者、OTA-A型骨摺、Denis Ⅰ型骨摺及53.01節段骨摺最多見.
목적 분석2년간신강지구4소의원성인흉요추골절적류행병학특정.방법 대2010년1월지2011년12월신강4소의원수치적성인흉요추골절환자자료진행회고성분석,기록환자적성별、년령、손상절단、OTA분형급Denis분형등수거,총결2년간신강지구성인흉요추골절적류행병학특정. 결과 공수집2 659례성인흉요추골절환자,남1 374례(51.67％),녀1 285례(48.33％),남녀비위1.07∶1.골절고발년령단위61 ～ 70세(20 53％);평균년령위55.9세.남성골절고발년령단위41 ～ 50세,녀성골절고발년령단위61 ～70세,50세이하환자남성다우녀성.골절근거OTA분형:A형2 298례(86.42％),B형312례(1 1.73％),C형49례(1.84％),남녀성고발류형균위A형.골절근거Denis분형:Ⅰ형1 564례(58.82％),Ⅱ형768례(28.88％),Ⅲ형309례(11.62％),Ⅳ형18례(0.68％),남녀성고발류형균위Ⅰ형.흉요추골절고발절단위53.01(25.87％),향두미량측정강저추세,남、녀성분포규률상동. 결론 신강지구성인흉요추골절점척주골절적88.25％,남성다우녀성,61 ～70세환자、OTA-A형골절、Denis Ⅰ형골절급53.01절단골절최다견.
Objective To investigate the epidemiological characteristics and trends of adult thoracolumbar fractures between 2010 and 2011 in Xinjiang.Methods The clinical data of adult patients were collected who had been treated between January 2010 to December 2011 for thoracolumbar fracture in 4 hospitals in Xinjiang.The fractures were epidemiologically characterized in terms of gender,age,injured segment,OTA and Denis classifications.Results A total of 2,659 adult thoracolumbar fractures were collected,including 1,374 males (51.67％) and 1,285 females (48.33％),accounting for 88.25％ of the contemporary spinal fractures (2,659/3,013).The male/female ratio was 1.07:1 and the average age was 55.9 years.The fractures predominated from 61 to 70 years (20.53％) for all,from 41 to 50 years for males and from 61 to 70 years for females.There were more male patients than female ones in the age group of below 50 years.By OTA classification,there were 2,298 cases of type A (86.42％),312 cases of type B (11.73％) and 49 cases of type C (1.84％),with type A being the most common for both men and women.By Denis classification,there were 1,564 cases of type Ⅰ(58.82％),768 cases of type Ⅱ (28.88％),309 cases of type Ⅲ (11.62％),and 18 cases of type ⅣV (0.68％),with type Ⅰ being the most common for both men and women.For both males and females,the most injured segment was 53.01 (25.87％),and the frequency of injury decreased from this segment toward both ends.Conclusions Between 2010 and 2011 in Xinjiang,adult thoracolumbar fractures accounted for 88.25％ of the contemporary spinal fractures,favoring more men than women.Their peak age ranged from 61 to 70 years.The most common fracture type was OTA-type A and Denis-type Ⅰ.The most injured segment was 53.01.
