CAJ | 학술논문

目的分析10年间河北医科大学第三医院成人胸腰椎骨折的流行病学分布特征及变化趋势. 方法对2003年1月至2012年12月河北医科大学第三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、损伤节段和骨折分型等数据.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年期间成人胸腰椎骨折的流行病学特征及变化趋势. 结果共收集11 437例成人胸腰椎骨折,男5 580例,女5 857例,男女比为0.95:1.骨折高发年龄段为51 ～60岁(19.87％),骨折高发节段为53.01(26.40％).骨折按AO分型,高发骨折类型为52-53A型(79.58％).A组4 250例,男女比为1.10∶1,平均年龄(47.9±17.4)岁;B组7 187例,男女比为0.88∶1,平均年龄(55.9±17.4)岁.两组患者的男女比和平均年龄比较差异均有统计学意义(P＜0.05),两组患者骨折AO分型构成比差异有统计学意义(x2=981.007,P=0.000).两组高发骨折节段均为53.01节段. 结论成人胸腰椎骨折女性多于男性,骨折高发年龄段为51～ 60岁,高发骨折节段为53.01节段,高发骨折类型为52-53A型.前、后5年相比,男女比、患者平均年龄、骨折类型等发生明显变化.
목적 분석10년간하북의과대학제삼의원성인흉요추골절적류행병학분포특정급변화추세. 방법 대2003년1월지2012년12월하북의과대학제삼의원수치적성인흉요추골절환자자료진행회고성분석,기록환자적성별、년령、손상절단화골절분형등수거.장2003년1월지2007년12월적환자자료정위A조,2008년1월지2012년12월적환자자료정위B조,비교량조환자적일반자료,총결출10년기간성인흉요추골절적류행병학특정급변화추세. 결과 공수집11 437례성인흉요추골절,남5 580례,녀5 857례,남녀비위0.95:1.골절고발년령단위51 ～60세(19.87％),골절고발절단위53.01(26.40％).골절안AO분형,고발골절류형위52-53A형(79.58％).A조4 250례,남녀비위1.10∶1,평균년령(47.9±17.4)세;B조7 187례,남녀비위0.88∶1,평균년령(55.9±17.4)세.량조환자적남녀비화평균년령비교차이균유통계학의의(P＜0.05),량조환자골절AO분형구성비차이유통계학의의(x2=981.007,P=0.000).량조고발골절절단균위53.01절단. 결론 성인흉요추골절녀성다우남성,골절고발년령단위51～ 60세,고발골절절단위53.01절단,고발골절류형위52-53A형.전、후5년상비,남녀비、환자평균년령、골절류형등발생명현변화.
Objective To investigate the epidemiological features of adult patients with thoracolumbar fractures treated from 2003 through 2012 at our hospital.Methods The data regarding gender,age,injured segment and fracture type were analyzed of the patients with thoracolumbar fracture who had been treated between January 2003 and December 2012 at our hospital.The data between January 2003 and Decemnber 2007 were assigned into group A and those between January 2008 and December 2012 into group B.The 2 groups were compared to find out the general epidemiologic characteristics and trends in the recent 10 years.Results A total of 11,437 thoracolumbar fractures were recorded,involving 5,580 males and 5,857 females (the male to female ratio:0.95∶1).The fractures predominated in an age range of 51 to 60 years (19.87％) and the most frequent fracture segment was 53.01 (26.40％).By AO classification,the most frequent fractures were type 52-53A (79.58％).In group A of 4,250 fractures,the male to female ratio was 1.10∶ 1,and the mean age 47.9 ±17.4 years.In group B of 7,187 fractures,the male/female ratio was 0.88∶ 1,and the mean age 55.9 ± 17.4 years.There were significant differences between the 2 groups in the male/female ratio (x2 =34.837,P =0.000) and in the mean age (t =23.541,P =0.000).The proportions of fracture AO types were significantly different between the 2 groups (x2 ＝981.007,P =0.000).The most frequent fracture segmcnt was 53.01 in both groups.Conclusions Adult thoracolumbar fracture favored more females than males.Its peak age ranged from 51 to 60 years old.The most frequent fracture segment was 53.01.The most common fracture type was 52-53A.Compared with the first 5 years,significant changes happened in male/female ratio,mean age and fracture type during the second 5 years.