[1]吕红芝 王娟 宇文培之 李栋正 陈伟 张英泽. 2016年至2018年河北医科大学第三医院骨盆骨折住院患者的特征分析[J].中华老年骨科与康复电子杂志,2019,(04):228-232.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.04.009]
　Lyu Hongzhi,Wang Juan,Yuwen Peizhi,et al. Epidemiological surgery of in-patients with pevic fracture in the Third Hopital of Hebei Medical University from 2016 to 2018[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(04):228-232.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.04.009]
点击复制

 2016年至2018年河北医科大学第三医院骨盆骨折住院患者的特征分析
()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2019年04期
页码:
228-232
栏目:
老年骨科流行病学
出版日期:
2019-08-05

文章信息/Info

Title:
 Epidemiological surgery of in-patients with pevic fracture in the Third Hopital of Hebei Medical University from 2016 to 2018
作者:
 吕红芝 王娟 宇文培之 李栋正 陈伟 张英泽
作者单位：050051 石家庄，河北医科大学第三医院创伤急救中心，河北省骨科研究所，河北省骨科生物力学重点实验室
Author(s):
 Lyu Hongzhi;  Wang Juan;  Yuwen Peizhi;  Li Dongzheng;  Chen WeiZhang Yingze.
 Emergency Center of Trauma, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, The Third Affiliated Hospital to Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China
关键词:
 ; 【关键词】 骨盆;  骨折; 骨;  流行病学;  性别因素;  年龄因素
Keywords:
 ; 【Key words】 Pelvic;  fractures;  Bone;  Epidemiology;  Sex factor;  Age factor
DOI:
DOI：10.3877/cma.j.issn.2096-0263.2019.04.009
文献标志码:
A
摘要:
 【摘要】 目的 探讨2016年至2018年间河北医科大学第三医院骨盆骨折住院患者的流行病学特征。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，收集2016年1月至2018年12月期间诊治的所有骨盆骨折患者资料，分析患者的人口统计学、基本社会学资料、外伤因素、手术因素等情况。结果 共收集357例骨盆骨折住院患者，2016年至2018年骨盆骨折住院患者逐年递增。男234例，女123例，男女比为1.90：l。男性、女性患者骨折高发年龄段为41～50岁（39.7%）。农民（166例，46.5％）、农村（290例，81.2％）及春季患者（104例，29.1％）所占比例较高。交通伤（169例，47.3%）及高能量损伤（284例，79.6%）患者所占比例最高。骨盆骨折行手术治疗患者居多（287例，80.4％），其中行内固定手术（266例，74.5％）、钢板固定（190例，71.4％）及切开复位患者居多（209例，72.8％），麻醉方式多采用局麻（176例，49.3％）或全麻（155例，43.4％）。结论 本研究提示骨盆骨折多见于农民，春季多发，41～50岁患者居多，交通伤等高能量损伤为主要的致伤原因，切开复位内固定为临床主要手术方式；近3年来我院骨盆骨折患者呈上升趋势。
Abstract:
【Abstract】 Objective To investigate the epidemiological characteristics of pelvic fracture inpatients in the Third Hospital of Hebei Medical University from 2016 to 2018. Methods Data of all pelvic fractures treated from Jan. 2016 to Dec. 2018 were collected by medical image computer archiving and transmission system and medical record inquiry system. The demographic data, basic sociological data, traumatic factors and surgical factors were analyzed. Results All 357 patients with pelvic fracture were collected. From 2016 to 2018, the number of pelvic fractures increased year by year. There were 234 males and 123 females, and the ratio of males to females was 1.90: l. The high incidence of fracture in male and female patients ranged from 41 to 50 years old (39.7%). Farmers (166 cases, 46.5%), rural areas (290 cases, 81.2%) and spring patients (104 cases, 29.1%) accounted for a higher proportion. Traffic injuries (169 cases, 47.3%) and high energy injuries (284 cases, 79.6%) accounted for the highest proportion. Most patients (287 cases, 80.4%) underwent surgical treatment for pelvic fractures, including internal fixation (266 cases, 74.5%), plate fixation (190 cases, 71.4%) and open reduction (209 cases, 72.8%). Local anesthesia (176 cases, 49.3%) or general anesthesia (155 cases, 43.4%) were mostly used. Conclusion This study suggests that pelvic fractures are common in farmers, spring, 41-50 years old patients are the majority, traffic injuries and other high-energy injuries are the main causes of injury, open reduction and internal fixation and plate internal fixation are the main clinical surgical methods; pelvic fracture patients in our hospital have shown an upward trend in the past three years.

参考文献/References:

 1 Zhang Y. Clinical epidemiology of orthopedic trauma[M]. New York: Thieme, 2012, 7: 335.
2 张英泽. 临床创伤骨科流行病学[M]. 北京: 人民卫生出版社, 2018, 405.
3 王亦璁. 骨与关节损伤[M]. 北京: 人民卫生出版社, 2007, 1107.
4 Velazquez N, Fantus RJ, Fantus RJ, Kingsley S, Bjurlin MA. Blunt trauma pelvic fracture-associated genitourinary and concomitant lower gastrointestinal injury: incidence, morbidity, and mortality. World J Urol. 2019.
5 Yin Y, Zhang R, Li S, Su K, Hou Z, Zhang Y. Complications Following Internal Fixator in the Treatment of Pelvic Fracture. Orthopedics. 2019;42:e7-e13.
6 Van Vugt A，Van Kampen A．An unstable pelvic ring：The killing fracture．J Bone Joint Surg Br, 2006，88(4)：427-433.
7 Chen W, Lv H, Liu S, et al. National incidence of traumatic fractures in China: a retrospective survey of 512 187 individuals[J]. Lancet Glob Health, 2017,5(8):e807-e817. DOI: 10.1016/S2214-109X(17)30222-X.
8 Melton LJ, 3rd, Sampson JM, Morrey BF, Ilstrup DM. Epidemiologic features of pelvic fractures. Clin Orthop Relat Res. 1981:43-7.
9 Ragnarsson B, Jacobsson B. Epidemiology of pelvic fractures in a Swedish county. Acta Orthop Scand. 1992;63:297-300.
10 殷刚，丁磊，马建东，等．宁夏银川市骨盆骨折流行病学研究[J]．宁夏医学杂志，2012,34(4)：324-325．
11 翁阳华，欧耀芬，彭扬国，等．交通事故致骨盆骨折378例的流行病学特征及lI缶床分析[J]按摩与导引，2008，24(7)：12．14．
12 杨俊骁，成亮，李康华. 湖南省5市9家三级医院骨盆骨折流行病学调查. 中南大学学报医学版, 2014: 39 (3): 301-306.
13 Barzilay Y, Liebergall M, Safran O, Khoury A, Mosheiff R. Pelvic fractures in a level I trauma center: a test case for the efficacy of the evolving trauma system in Israel. Isr Med Assoc J. 2005;7:619-22.
14 Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg. 2002;195:1-10.
15 Dzupa V, Chmelova J, Pavelka T, Obruba P, Wendsche P, Simko P. [Multicentric study of patients with pelvic injury: basic analysis of the study group]. Acta Chir Orthop Traumatol Cech. 2009;76:404-9.
16 吴啸波，裴宝瑞. 老年髋部骨折围手术期相关问题的研究进展[J/CD]. 中华老年骨科与康复电子杂志, 2016, 2(2): 114-118.
17 徐进, 李平, 马信龙. 老年髋部骨折手术快通道化变革中的麻醉管理[J/CD]. 中华老年骨科与康复电子杂志, 2017, 3(1): 59-61.
18 杨光, 陈伟, 于沂阳, 等. 2010年至2011年中国东部与西部地区成人骨盆骨折的流行病学对比分析. 中华创伤骨科杂志, 2018, 30 (3): 242-246.
19. Stambaugh LE, 3rd, Blackmore CC. Pelvic ring disruptions in emergency radiology. Eur J Radiol. 2003;48:71-87.
20 Balogh Z, King KL, Mackay P, McDougall D, Mackenzie S, Evans JA, et al. The epidemiology of pelvic ring fractures: a population-based study. J Trauma. 2007;63:1066-73; discussion 72-3.
21 Giraldez-Sanchez MA, Lazaro-Gonzalvez A, Martinez-Reina J, Serrano-Toledano D, Navarro-Robles A, Cano-Luis P, et al. Percutaneous iliosacral fixation in external rotational pelvic fractures. A biomechanical analysis. Injury. 2015;46:327-32.

相似文献/References:

[1]鲍飞龙 刘涛 亢世杰 黄东生 江涛 胡义明. 双反牵引装置治疗Schatzker分型Ⅴ、Ⅵ型胫骨平台骨折的优势[J].中华老年骨科与康复电子杂志,2018,(05):266.
　Bao Feilong,Liu Tao,Kang Shijie,et al.The advantage of homeopathic double reverse traction device treating tibial plateau fractures of typing Schatzker Ⅴ and Ⅵ[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):266.
[2]王哲培 张凯 保罗 汪毅 白震民. 太极拳对老年女性下肢静态平衡、本体感觉与功能活动的影响[J].中华老年骨科与康复电子杂志,2018,(05):296.
　Wang Zhepei,Zhang Kai,Pablo,et al. The influence of Taijiquan on the lower limbs static balance, proprioception and functional activities of older women[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):296.
[3]刘磊 王宝泉 孙然 杨宗酉 孙家元 陈伟 王海立 殷兵 刘松 李石伦 杨光 张英泽. 2010年至2011年中国东部和西部地区成人股骨转子间骨折流行病学对比分析[J].中华老年骨科与康复电子杂志,2018,(05):302.
　Liu Lei,Wang Baoquan,Sun Ran,et al.Epidemiological comparison of adult femoral intertrochanteric fractures between the east and west areas in China from 2010 through 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):302.
[4]吴石磊 刘勇 邵增务 田青. 骨组织细胞外泌体对骨代谢作用的研究现状[J].中华老年骨科与康复电子杂志,2018,(05):308.
　Wu Shilei,Liu Yong,Shao Zengwu,et al. Research status of bone tissue-derived exosomes on bone metabolism[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):308.
[5]张世峰 金群华. 胫骨高位截骨术治疗膝内侧单间室骨关节炎的研究进展[J].中华老年骨科与康复电子杂志,2018,(05):312.
　Zhang Shifeng,Jin Qunhua.. Research progress of high tibial osteotomy in the treatment of medial single compartment osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(04):312.
[6]赵永辉,陆声,马宇龙,等. 皮质骨通道螺钉技术在腰椎退变性疾病中的临床应用[J].中华老年骨科与康复电子杂志,2019,(03):123.[doi:10.3877/cma.j.issn.2096-0263.2019.001]
　Zhao Yonghui,Lu Sheng,Ma Yulong,et al. Clinical application of cortical bone screw technique in elderly patients with lumbar degenerative diseases[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(04):123.[doi:10.3877/cma.j.issn.2096-0263.2019.001]
[7]王虎 李明 靳泽岳 连晓东 陈伟. 不同方法治疗老年股骨转子间合并转子下骨折的比较[J].中华老年骨科与康复电子杂志,2019,(03):135.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.003]
　Wang Hu,Chen Wei.. Comparative of different methods for the treatment of intertrochanteric-subtrochanteric fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(04):135.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.003]
[8]明立功 孟维娜 明朝戈 栗贡策 王自方 王新德 明立山 许振华.腓骨近端截骨联合中医药治疗膝关节内侧间室骨关节炎肝肾不足、气滞血瘀证[J].中华老年骨科与康复电子杂志,2019,(03):149.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.005]
　Ming Ligong,Meng Weina,Ming Chaoge,et al. Proximal fibular osteotomy combined with traditional Chinese medicine in the treatment of osteoarthritis of medial compartment of knee joint with liver and kidney insufficiency, qi stagnation and blood stasis syndrome[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(04):149.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.005]
[9]胡建平 李俊峰 秦鸿雁 张强 张卫国 陈明. 长短髓内钉治疗老年股骨反转子间骨折的疗效比较[J].中华老年骨科与康复电子杂志,2019,(03):143.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.004]
　Hu Jianping,Li Junfeng,Qin Hongyan,et al. Comparison of short intramedullary nail and long intramedullary nail for the treatment of reverse oblique intertrochanteric fractures in the elderly[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(04):143.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.004]
[10]魏宁 常文利 杜晨光 侯志勇 张世强 焦振清 李增炎 陈伟 张英泽. 河北医科大学第三医院956例后踝骨折的流行病学分析[J].中华老年骨科与康复电子杂志,2019,(03):167.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.008]
　Wei Ning,Chang Wenli,Du Chenguang,et al. The retrospective analysis of 956 cases with posterior malleolar fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(04):167.[doi:DOI：10.3877/cma.j.issn.2096-0263.2019.008]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金青年科学基金（81501934）
更新日期/Last Update: 2019-09-19