[1]宇文培之,王娟,吕红芝,等.高原（云贵）和盆地（四川）成人胫骨平台骨折的流行病学特点[J].中华老年骨科与康复电子杂志,2016,(02):103-108.[doi:10.3877/cma.j.issn.2096-0263.2016.02.008]
　Yuwen Peizhi,Wang Juan,Lyu Hongzhi,et al.Epidemiological characters of adult tibial plateau fractures in Yunnan-Guizhou plateau and Sichuan basin[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(02):103-108.[doi:10.3877/cma.j.issn.2096-0263.2016.02.008]
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高原（云贵）和盆地（四川）成人胫骨平台骨折的流行病学特点()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2016年02期
页码:
103-108
栏目:
老年骨科流行病学
出版日期:
2016-05-17

文章信息/Info

Title:
Epidemiological characters of adult tibial plateau fractures in Yunnan-Guizhou plateau and Sichuan basin
作者:
宇文培之; 王娟; 吕红芝; 陈伟; 冯琛; 张英泽; 孙家元; 刘磊; 于沂阳; 郭家良; 田野
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):
Yuwen Peizhi;  Wang Juan;  Lyu Hongzhi;  Chen Wei;  Feng Chen;  Zhang Yingze;  Sun Jiayuan;  Liu Lei;  Yu Yiyang;  Guo Jialiang;  Tian Ye.
The Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Orthopaedic Reserch Institute of Hebei Province, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Shijiazhuang 050051, China
关键词:
胫骨骨折; 　性别分布; 　年龄分布; 　分型; 　流行病学
Keywords:
Tibial fractures; 　Sex distribution; 　Age distribution; 　Classification;  Epidemiology
DOI:
10.3877/cma.j.issn.2096-0263.2016.02.008
摘要:
目的　对比分析我国云贵高原和四川盆地成人胫骨平台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（picture achiving and commmunication system，PACS）及病案查询系统整理纳入2010 年1 月至2011 年12 月云贵高原5 所医院（＞ 1 000 m）和四川盆地 5 所医院（＜ 500 m）诊治的成人胫骨平台患者，对比两组患者的年龄构成、性别、损伤类型（AO 分型、Schatzker 分型）分布情况。结果　纳入633 例成人胫骨平台患者中，40 ～ 44 岁所占比例最高，其中男40 ～ 44 岁，女55 ～ 59 岁。云贵高原组占比较高年龄段为40 ～ 44 岁，男40 ～ 44 岁，女 55 ～ 59 岁；四川盆地组占比较高年龄段为55 ～ 59 岁，男40 ～ 44 岁，女55 ～ 59 岁，差异有统计学意义（χ2=30.829，P ＜ 0.01）。云贵高原组患者362 例，男277 例，女85 例，男女比为3.26 ︰ 1；四川盆地组271 例，男156 例，女115 例，男女比为1.36 ︰ 1，两组男女构成比比较，差异具有统计学意义（χ2=25.763，P ＜ 0.01）。两组患者的AO 分型中41-B 型所占比例最高，云贵高原组41-B 型168 例，41-C 型183 例，41-B3 型所占比例最高（84 例，23.2%），四川盆地组41-B 型194 例， 41-C 型88 例，41-B2 型所占比例最高（63 例，23.3%），两组比较差异有统计学意义（χ2=27.981， P＜ 0.01）。两组患者Schatzker 分型中S6型所占比例最高，且云贵高原组（42.8%）高于四川组（23.2%），差异有统计学意义（χ2=59.439，P ＜ 0.01）。结论　高原和盆地的胫骨平台骨折多见于男性壮年，在高原地区的高发年龄小于盆地地区。
Abstract:
Objective　To compare and analyze the epidemiological features and differences of adult tibial plateau fractures in Yunnan-Guizhou plateau and Sichuan basin. Methods　Adults of tibial plateau fractures treated between January 2010 to December 2012 in 5 hospitals located at Yunnan- Guizhou Plateau (>1 000 m) and another 5 hospitals at Sichuan Basin (<500 m), data were collected and analyzed retrospectively through the PACS system and case reports checking system. Information included gender, age distribution and type of AO and Schatzker classification. Comparison and analysis were done in both groups. Results　A total of 633 adult tibial plateau fractures were collected, with the peak age ranging from 40 to 44 years (males from 40 to 44 years females from 55-59 years), Yunnan group sustained the same peak age while differ from Sichuan group, which was 55 to 59 years (males from 40 to 44 years, females from 55-59 years), the difference was statistically significant (χ2=30.829, P<0.01). Yunnan group included 277 males and 85 females, and 156 males and 115 females in Sichuan group, The ratio of male/female were 3.26, 1.63 respectively, and the difference was statistically significant (χ2=25.763, P<0.01). The overall high-risk type of tibial plateau fractures was 41-B. Besides Yunnan group contained 168 41-B cases and 183 41-C cases, the dominant subgroup type was 41-B3, accounting 23.2% of total number in Yunnan group. There were 194 41-B cases and 88 41-C cases in Sichuan group, the dominant subgroup type was 41-B2, accounting 23.3% of total number in Sichuan group, the differences were statistically significant (χ2=27.981, P<0.01). Comparison of Schatzker classfication showed the dominant type in both groups was S6 and this type in Yunnan group accounted for 42.8%, higher than Sichuan group (23.2%), differences between all six types were statistically significant (χ2=59.439, P<0.01). Conclusions　The current investigation has implied the most affected population of adult tibial plateau fractures were middle-aged males, and younger patients were found in Yunnan group than Sichuan group.

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备注/Memo

备注/Memo:
国家自然科学基金青年科学基金项目（81401789）；河北省卫生厅医学科学研究重点课题（20150284）
更新日期/Last Update: 2016-05-17