[1]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):245-249.[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,(04):245-249.[doi:10.3877/cma.j.issn.2096-0263.2016.04.010]
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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()
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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04期
页码:
245-249
栏目:
老年骨科流行病学
出版日期:
2016-11-05

文章信息/Info

Title:
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
作者:
李佳; 刘勃; 李石伦; 陈伟; 刘松; 刘磊; 孙家元; 陈霄; 杨光; 张飞; 田野; 杨宗酉; 张英泽
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):
Li Jia;  Liu Bo;  Li Shilun;  Chen Wei;  Liu Song;  Liu Lei;  Sun Jiayuan;  Chen Xiao;  Yang Guang;  Zhang Fei;  Tian Ye;  Yang Zongyou;  Zhang Yingze
Key Laboratory of Orthopaedic Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China
关键词:
脊柱骨折;  流行病学;  性别分布;  年龄分布
Keywords:
Spinal fractures;  Epidemiology;  Gender distribution;  Age distribution
DOI:
10.3877/cma.j.issn.2096-0263.2016.04.010
文献标志码:
A
摘要:
目的 对比分析我国高纬度和低纬度地区 2010年 1月至 2011年 12月 60岁以上脊柱胸腰段骨折的流行病学特点。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我国高纬度地区 8所医院和低纬度地区 7所医院 2010年 1月至 2011年 12月诊治的所有胸腰段骨折患者资料。将黑龙江省、吉林省、辽宁省、内蒙古自治区共 8所医院的患者定为高纬度组，将广东省、广西省、云南省、海南省共 7所医院的患者定为低纬度组。对比两组患者性别、年龄、侧别、骨折 Dennis分型等指标。结果共收集病例 2 068例，其中高纬度组 816例，低纬度组 1 252例。高纬度组男女比例（0.67:1，326/490）高于低纬度组（0.38:1，347/905），差异有统计学意义（c2=33.689，P＜0.001）。高纬度组中位发病年龄（70岁）低于低纬度组（72 岁），差异有统计学意义（Z=4.745，P＜0.001）。高纬度组 61～65 岁构成比最高（27.8%，227/816），低纬度组以 66～70岁年龄段性别构成比最高（22.0%，276/1252）。两组 61～80岁年龄段性别构成有统计学差异，81 岁以上年龄段性别构成无统计学差异。高纬度组 T11 骨折 21 例（2.6%），T12骨折 82例（10.0%），L1骨折 550例（67.4%），L2骨折 163例（20.0%）。低纬度组 T11骨折 122例（9.7%），T12骨折 395例（31.5%），L1骨折 539例（43.1%），L2骨折 196例（15.7%）。两组骨折节段构成比较，差异有统计学意义（c2=196.686，P＜0.001）。高纬度组 Dennis I型 574例（70.3%），II型 214例（26.2%），III 型 21例（2.6%），IV型 7例（0.9%）。低纬度组 I型 1 091例（87.1%），II型 138例（11.0%），III型 4例（0.3%）， IV型 19例（1.5%）。两组分型构成比较，差异有统计学意义（c2=106.869，P＜0.001）。结论 高纬度地区男性构成比更高、发病中位年龄更年轻，腰椎骨折构成比更高，Dennis II、III型骨折更多见。
Abstract:
Objective To compare and analyze the epidemiological characteristics of patients over 60 years with thoracolumbar fractures between high and low latitude areas of our country. Methods The data of patients over 60 years with thoracolumbar fractures treated from January 2010 to December 2011 in 8 high latitude hospitals and low latitude 7 hospitals of China were collected through the PACS system and case reports checking system. The patients were defined into two groups: high latitude group included Heilongjiang, Jilin, Liaoning and Inner Mongolia Province; low latitude group included Guangdong, Guangxi, Yunnan and Hainan Province. The gender, age, level of segements and Dennis classification were compared and analyzed. Results A total of 2,068 cases were collected, 816 cases in high latitude group and 1,252 cases in low latitude group. The sex ratio in high altitude group (M/F=0.67:1, 326/490) was significant higher than the low latitude group (M/F=0.38:1,347/905) with statistical significance (c2=33.689, P<0.001). The median age of high latitude group was 70 years which is younger than that of low latitude group (72 years) with a atatistically significant difference (Z=4.745, P<0.001). The predominat age group of thoracolumbar fractures in two groups were 61- 65 years (27.8% , 227/816) and 66- 70 years (22.0% ,276/ 1252). The gender distribution had significant differences in patients aged 61-80 years between two groups, while there is no difference in patients over 81 years. There were 21 fractures of T11 (2.6%), 82 fractures of T12 (10.0%), 550 fractures of L1 (67.4%) and 163 fractures of L2 (20.0%) in high latitude group. There were 122 fractures of T11 (9.7%), 395 fractures of T12 (31.5%), 539 fractures of L1 (43.1%) and 196 fractures of L2 (15.7%)in low latitude group. Segments level showed significant difference between two groups (c2=196.686, P<0.001). According to Dennis classification, there were 574 (70.3%) type I fractures, 214 (26.2%) type II fractures, 21 (2.6%) type III fractures and 7 (0.9%) type IV fractures in high latitude group. There were 1,091 (87.1%) type I fractures, 138 (11.0%) type II fractures, 4 (0.3%) type III fractures and 19 (1.5%) type IV fractures in low altitude group. The proportion of Dennis classification had significant difference between two groups (c2=106.869, P<0.001). Conclusions Males in high latitude group were at greater risk compare with those in low latitude group. The median age of high latitude group were younger than the low latitude group. Comparing to the low latitude group, patients in high latitude group had greater risk of lumber segments and Dennis II and III fracture were the dominant fracture type.

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备注/Memo

备注/Memo:
基金项目：首批“河北省青年拔尖人才”项目资助-第二个支持周期（2016年-2018年）
更新日期/Last Update: 2017-04-01