CAJ | 학술논문

目的探讨京津唐(北京、天津、唐山)地区成人股骨干骨折的流行病学特征,比较股骨干骨折的地区差异. 方法回顾性分析北京(A组)、天津(B组)及唐山地区(C组)8家医院2010年1月至2011年12月期间所诊治的所有成人股骨干骨折患者资料,统计患者的性别、年龄、骨折AO分型等数据,总结京津唐地区成人股骨干骨折的流行病学特征,对比分析3组的数据.结果共收治1 455例成人股骨干骨折患者,占同期成人股骨骨折的17.13％(1 455/8 495),占同期成人全身骨折的2.72％(1 455/53 462).男女比为3.77∶1.骨折高发年龄段为16 ～ 45岁(64.47％),高发骨折类型为32-A型(49.28％).A组、B组和C组成人股骨干骨折分别为88、235和1 132例.3组骨折高发年龄段均为16 ～ 45岁(A组占59.09％,B组占51.49％,C组占67.58％).C组患者男女比(4.93∶1)显著高于A组(2.52∶1)和B组(1.64∶1),差异均有统计学意义(P＜0.05).3组高发骨折类型为均32-A型,A组32-A型骨折构成比(71.59％)显著高于B组(52.34％)和C组(46.91％),差异均有统计学意义(P＜0.05).结论京津唐地区成人股骨干骨折占同期成人股骨骨折的17.13％,占同期成人全身骨折的2.72％.男性患者多于女性,青年患者比例最高,32-A型骨折最常见.京津唐地区成人股骨干骨折患者存在地区差异,唐山地区男女比最高,北京地区32-A型骨折构成比最高.
목적 탐토경진당(북경、천진、당산)지구성인고골간골절적류행병학특정,비교고골간골절적지구차이. 방법 회고성분석북경(A조)、천진(B조)급당산지구(C조)8가의원2010년1월지2011년12월기간소진치적소유성인고골간골절환자자료,통계환자적성별、년령、골절AO분형등수거,총결경진당지구성인고골간골절적류행병학특정,대비분석3조적수거.결과 공수치1 455례성인고골간골절환자,점동기성인고골골절적17.13％(1 455/8 495),점동기성인전신골절적2.72％(1 455/53 462).남녀비위3.77∶1.골절고발년령단위16 ～ 45세(64.47％),고발골절류형위32-A형(49.28％).A조、B조화C조성인고골간골절분별위88、235화1 132례.3조골절고발년령단균위16 ～ 45세(A조점59.09％,B조점51.49％,C조점67.58％).C조환자남녀비(4.93∶1)현저고우A조(2.52∶1)화B조(1.64∶1),차이균유통계학의의(P＜0.05).3조고발골절류형위균32-A형,A조32-A형골절구성비(71.59％)현저고우B조(52.34％)화C조(46.91％),차이균유통계학의의(P＜0.05).결론 경진당지구성인고골간골절점동기성인고골골절적17.13％,점동기성인전신골절적2.72％.남성환자다우녀성,청년환자비례최고,32-A형골절최상견.경진당지구성인고골간골절환자존재지구차이,당산지구남녀비최고,북경지구32-A형골절구성비최고.
Objective To investigate the epidemiological features of femoral shaft fractures in Beijing,Tianjin and Tangshan from 2010 through 2011.Methods Cluster random sampling methods were used to choose 8 hospitals from Beijing (group A),Tianjin (group B) and Tangshan (group C).The data of adult fractures treated between January 2010 and December 2011 in these hospitals were collected through the PACS system and X-ray films.After adult femoral shaft fractures were selected,they were divided into 3 age groups (young group,middle-aged group,and elderly group).Analytic items included gender,age and AO classification.The epidemiological characteristics of adult femoral shaft fractures were analyzed and compared among the 3 different regional groups.Results A total of 1,455 adult femoral shaft fractures were selected with a male to female ratio of 3.77∶ 1,accounting for 17.13％ (1,455/8,495) of the adult femoral fractures and 2.72％ (1,455/53,462) of all the adult fractures.Age distribution showed that the peak age of femoral shaft fractures ranged from 16 to 45 years (64.47％).AO type 32-A was the most common,accounting for 49.28％ ofall the femoral shaft fractures.There were 88 femoral shaft fractures in group A,235 in group B,and 1,132in group C.The peak age of femoral shaft fractures ranged from 16 to 45 years in all the 3 groups (59.09％ ingroup A,51.49％ in group B and 67.58％ in group C).The male to female ratio was 4.93∶1 in group C,significantly higher than in group A (2.52∶1) and group B (1.64∶1) (P ＜ 0.05).Type 32-A was the mostcommon in all the 3 groups,but its proportion in group A (71.59％) was significantly higher than in group B(52.34％) and group C (46.91％) (P ＜ 0.05).Conclusions Adult femoral shaft fractures in Bei-jing,Tianjin and Tangshan accounted for 17.13％ of the adult femoral fractures and 2.72％ of all the adultfractures from 2010 through 2011.They were more common in males than in females.They prevailed in youngpeople.The most common fracture type was AO type 32-A.There were regional differences.The male tofemale ratio was the highest in Tangshan and the proportion of type 32-A was the highest in Beijing.