摘要
目的 调查成人掌骨骨折的流行病学特征并分析其变化趋势. 方法 利用医学影像计算机存档与传输系统及病案查询系统回顾性分析2003年1月至2012年12月河北医科大学第三医院诊治的成人掌骨骨折患者资料.将2003年1月至2007年12月患者资料定为A组,2008年1月至2012年12月患者资料定为B组,对比、分析两组患者的性别、年龄、骨折部位及骨折类型,总结出10年期间成人掌骨骨折的流行病学特征及变化趋势. 结果 共收集成人掌骨骨折3 414例,男2 810例（82.3％）,女604例（17.7％）,男女比为4.7∶1;单发骨折2 600例（76.2％）,多发骨折814例（23.8％）;高发年龄段为21 ～25岁.A、B组成人掌骨骨折分别为1 580例和l 834例,分别占各组同期全身骨折的2.9％（1 580/55 423）和3.5％（1 834/52 225）,男女比分别为4.8∶1和4.5∶1,多发骨折所占比例分别为22.1％ （350/1 580）和25.3％ （464/1 834）,以上项目两组间比较差异均有统计学意义（P＜0.05）.A、B两组骨折高发年龄段分别为16 ～ 20岁和21 ～ 25岁. 结论 成人掌骨骨折男性多于女性,骨折高发年龄段为21 ～ 25岁,单发骨折较多发骨折常见;10年间的成人掌骨骨折流行病学趋势是占全身骨折的比例升高,男女比降低,骨折复杂化和严重化,以及骨折高发年龄段推迟.
Objective To investigate the epidemiological features and trends of adult metacarpal fractures from 2003 through 2012 in the Third Hospital to Hebei Medical University.Methods The data of adult patients with metacarpal fractures who had been treated between January 2003 and December 2012 at our hospital were collected through the PACS system and case reports checking system.The data between January 2003 and December 2007 were classified as group A and those between January 2008 and December 2012 as group B.The 2 groups were compared in terms of gender,age,fracture site and type to find out the general epidemiological characteristics and trends of adult metacarpal fractures in the recent 10 years.Results A total of 3,414 adult metacarpal fractures were collected,including 2,810 males （82.3％） and 604 females （17.7％）,with a male/female ratio of 4.7∶ 1.There were 2,600 mono fractures （76.2％） and 814 multiple fractures （23.8％）.The fractures predominantly occurred in an age range of 21 to 25 years.There were 1,580 cases in group A and 1,834 cases in group B,accounting for 2.9％ （1,580/55,423） and 3.5％ （1,834/52,225） of the total adult fractures respectively.The male/female ratio was 4.8∶1 in group A and 4.5∶1 in group B.The proportion of multiple fractures was 22.1％ （350/1,580） in group A and 25.3％ （464/1,834） in group B.There were significant differences between the 2 groups regarding all the above indexes （P ＜ 0.05）.The peak age ranged between 16 and 20 years in group A and between 21 and 25 years in group B.Conclusions The adult metacarpal fractures was characterized by male predominance,a peak age between 21 and 25 years,and more mono fractures than multiple fractures.The proportion of adult metacarpal fractures in the total adult fractures was increasing,but the male/female ratio was decreasing.The peak age of the fractures was postponed and the fractures tended to be more complex and serious.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2014年第7期603-606,共4页
Chinese Journal of Orthopaedic Trauma
关键词
掌骨
骨折
流行病学
性别分布
年龄分布
Metacarpal bones
Fractures, bone
Epidemiology
Sex distribution
Age distribution
