[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]
点击复制

高原(云贵)和盆地(四川)成人胫骨平台骨折的流行病学特点()
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:
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.

参考文献/References:

1 Albuquerque RP, Hara R, Prado J, et al. Epidemiological study on tibial plateau fractures at a level I trauma center [J]. ActaOrtop Bras, 2013, 21(2): 109-115.
2 张英泽. 临床创伤骨科流行病学 [M] . 北京: 人民卫生出版社, 2009 .
3 Yang G, Zhai QL, Zhu Y, et al. The incidence of posterior tibial plateau fracture: an investigation of 525 fractures by using a CT-based classification system [J]. Arch Orthop Trauma Surg, 2013, 133(7): 929-934.
4 Thomas Ch, Athanasiov A, Wullschleger M, et al. Current concepts in tibial plateau fractures [J]. Acta Chir Orthop Traumatol Cech, 2009,7 6(5): 363-373.
5 Agnew SG. Tibial plateau fractures [J]. Oper Tech Orthop, 1999, 9(3):197-205.
6 Elsoe R, Larsen P, Nielsen NP, et al. Population-Based epidemiology of tibial plateau fractures [J]. Orthopedics, 2015, 38(9): e780-e786.
7 Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review [J]. Injury, 2006, 37(8): 691-697.
8 Schulak DJ, Gunn DR. Fractures of tibial plateaus. A review of the literature. Clin Orthop Relat Res, 1975(109):166-177.
9 李彦森, 赵海涛, 殷兵, 等. 云贵高原各省、自治区城市成人股骨近端骨折的流行病学特征 [J]. 中国临床医生杂志, 2015 (10): 45-47.
10 Schatzker J, McBroom R, Bruce D: The tibial plateau fracture. The Toronto experience 1968--1975. Clin Orthop Relat Res, 1979(138):94-104.
11 朱国英, 王莉华, 王洪复. 上海地区正常人群胫骨定量超声骨量的分布及临床应用研究 [J]. 中国骨质疏松杂志, 1999, 5(4): 49-52.
12 Hung VW, Zhu TY, Cheung WH, et al. Age-related differences in volumetric bone mineral density, microarchitecture, and bone strength of distal radius and tibia in Chinese women: a high-resolution pQCT reference database study [J]. Osteoporos Int, 2015, 26(6): 1691-1703.
13 Nilson F, Moniruzzaman S, Andersson R. A comparison of hip fracture incidence rates among elderly in Sweden by latitude and sunlight exposure [J]. Scand J Public Health, 2014, 42(2): 201-206.
14 康晓鹏, 张宝华, 劳汉昌, 等. 云南昆明地区正常人群骨矿密度研究(摘要) [J]. 昆明医学院学报, 2003, 24(1): 19-19.

相似文献/References:

[1]杨延江 董天华 杜晨光 杨宗酉 陈伟 吕红芝 刘磊 孙家元 王海立 殷兵  刘勃 刘松 张英泽.2008 年至2012 年河北医科大学第三医院 老年踝关节损伤的流行病学研究[J].中华老年骨科与康复电子杂志,2015,(02):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
 Yang Yanjiang,Dong Tianhua,Du Chenguang,et al.Epidemiological analysis of elderly ankle injury in the Third Hospital of Hebei Medical University from 2008 through 2012[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(02):35.[doi:10.3877/cma.j.issn.2096-0263.2015.02 .007]
[2]李佳,刘勃,李石伦,等.我国高纬度和低纬度地区 2010—2011年 60岁以上胸腰段骨折 Dennis分型的流行病学对比[J].中华老年骨科与康复电子杂志,2016,(04):245.[doi:10.3877/cma.j.issn.2096-0263.2016.04.010]
 Li Jia,Liu Bo,Li Shilun,et al.Epidemiological comparison of thoracolumbar fractures in patients over 60 years by Dennis classification between low latitudes and high latitudes areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(02):245.[doi:10.3877/cma.j.issn.2096-0263.2016.04.010]
[3]于沂阳,李石伦,陈伟,等.中国北方和南方地区 2010—2011年 60岁以上人群股骨转子间骨折流行病学对比[J].中华老年骨科与康复电子杂志,2017,(01):55.[doi:10.3877/cma.j.issn.2096-0263.2017.01.011]
 Yu Yiyang,Li Shilun,Chen Wei,et al.Epidemiological comparison of geriatric intertrochanteric fractures between north and south areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):55.[doi:10.3877/cma.j.issn.2096-0263.2017.01.011]
[4]李佳,刘勃,董天华,等.2010-2011年我国西南地区 11所医院 60岁以上股骨颈骨折患者的流行病学特征分析[J].中华老年骨科与康复电子杂志,2017,(02):116.[doi:10.3877/cma.j.issn.2096-0263.2017.02.010]
 Li Jia,Liu Bo,Dong Tianhua,et al.Epidemiological analysis of femoral neck fractures in patients over 60 years in Southwest China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):116.[doi:10.3877/cma.j.issn.2096-0263.2017.02.010]
[5]郑占乐,常恒瑞,吕红芝,等.胫骨平台骨折张氏微创手术中研磨复位技术处理过度复位的临床研究[J].中华老年骨科与康复电子杂志,2017,(03):157.[doi:10.3877/cma.j.issn.2096-0263.2017.03.005]
 Zheng Zhanle,Chang Hengrui,Lyu Hongzhi,et al.Zhang’s minimally invasive treatment-the clinical application of grinding reduction in treating tibial plateau fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):157.[doi:10.3877/cma.j.issn.2096-0263.2017.03.005]
[6]刘松 陈伟 朱燕宾 李彦森 殷兵 张飞 李佳 张英泽.2010—2011年中国东北和西北地区老年髋部骨折的流行病学对比[J].中华老年骨科与康复电子杂志,2017,(03):172.[doi:10.3877/cma.j.issn.2096-0263.2017.03.008]
 Liu Song,Chen Wei,Zhu Yanbin,et al.Epidemiological comparison of hip fractures in the elderly between northeast and northwest areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):172.[doi:10.3877/cma.j.issn.2096-0263.2017.03.008]
[7]李佳,刘勃,董天华,等.2010-2011年西南地区 11所医院 60岁以上尺桡骨远端骨折患者流行病学分析[J].中华老年骨科与康复电子杂志,2017,(04):244.[doi:10.3877/cma.j.issn.2096-0263.2017.04.009]
 Li Jia,Liu Bo,Dong Tianhua,et al.Epidemiological analysis of distal ulna and radius fractures in patients over 60 years in Southwest China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):244.[doi:10.3877/cma.j.issn.2096-0263.2017.04.009]
[8]邵佳申,郑占乐,吕红芝,等.双反牵引微创治疗后外侧胫骨平台骨折的疗效分析[J].中华老年骨科与康复电子杂志,2017,(05):302.[doi:10.3877/cma.j.issn.2096-0263.2017.05.010]
 Shao Jiashen,Zheng Zhanle,Lyu Hongzhi,et al.Bidirectional minimally invasive treatment of posterolateral tibial plateau fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):302.[doi:10.3877/cma.j.issn.2096-0263.2017.05.010]
[9]刘松,李佳,李石伦,等.2010-2011年我国华北和华东地区老年尺桡骨远端骨折的流行病学特征分析[J].中华老年骨科与康复电子杂志,2017,(06):372.[doi:10.3877/cma.j.issn.2096-0263.2017.06.011]
 Liu Song,Li Jia,Li Shilun,et al.Epidemiological comparison of distal ulna and radius fractures in the elderly between northern and eastern China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(02):372.[doi:10.3877/cma.j.issn.2096-0263.2017.06.011]
[10]李佳,刘勃,刘松,等.中国中西部地区2010至2011年60岁以上股骨颈骨折流行病学对比[J].中华老年骨科与康复电子杂志,2018,(01):38.[doi:10.3877/cma.j.issn.2096-0263.2018.01.009]
 Li Jia,Liu Bo,Liu Song,et al.Epidemiological analysis of femoral neck fractures in patients over 60 years between middle and west areas of China from 2010 to 2011[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2018,(02):38.[doi:10.3877/cma.j.issn.2096-0263.2018.01.009]

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