摘要
目的探讨10年期间河北医科大学第三医院上颈椎损伤的流行病学特征并分析其变化趋势。方法回顾性分析2003年1月至2012年12月河北医科大学第三医院诊治的上颈椎骨折患者资料,记录患者的性别、年龄、骨折分型。将2003年1月至2007年12月收治的患者定为A组,2008年1月至2012年12月收治的患者定为B组,统计患者性别、年龄、骨折分析等数据并进行对比分析。结果10年间共诊治成人上颈椎损伤201例,占脊柱损伤的1.6%(201/12427),占全身骨折的0.2%(201/107648)。男125例,女76例,男女比为1.64:1;年龄16~97岁,年龄中位数为42岁,21~50岁年龄段骨折例数最多(65.2%,131/201);寰椎损伤60例,枢椎损伤141例,均以男性为主。上颈椎同时合并下颈椎损伤患者16例,占上颈椎损伤患者的8.O%(16/201)。A、B两组上颈椎损伤患者分别占同期脊柱损伤的2.3%(106/4676)和1.2%(95/7751),占全身骨折比例均为0.2%(106/55423,95/52225)。B组中寰椎c型损伤所占较A组增多39.6%。结论上颈椎损伤占脊柱损伤的1.6%,占全身骨折的0.2%。多为青壮年,男性多于女性。枢椎损伤占上颈椎损伤的70.1%,多为齿状突骨折(62.4%)。8.0%的患者同时合并下颈椎损伤。前、后5年间性别构成无明显变化,年龄构成差异显著,寰椎C型损伤呈增多趋势。
Objective To investigate the epidemiological features and trends of upper cervical spine injury in The Third Affiliated Hospital to Hebei Medical University from 2003 to 2012.Methods The clinical data of upper cervical spine fractures treated between January 2003 and December 2012 at our hospital were collected through the PACS system and case reports checking system.The fractures treated from January 2003 through December 2007 were assigned into group A while those from January 2008 through December 2012 into group B.Analytic items included gender,age and fracture type.Results A total of 201 upper cervical spine fractures were treated during the 10 years,accounting for 1.6%(201/12,427)of the spinal fractures and 0.2%(201/107,648)of all human fractures.They were 125 males and 76 fcmale,with a male to fcmale ratio of 1.64:1.Their ages ranged from 16 to 97 years,with a mean age of 42 years.The age distribution showed that the peak age was from 21 to 50 years(65.2%,131/201).Sixty cases were atlas fractures and 141 axis fractures,most of which were both males.Sixteen upper cervical spine fractures were complicated with lower cervical spine injury,accounting for 8.0%of all the upper cervical spine fractures(16/201).In group A,the upper cervical spine injury accounted for 2.3%(106/4,676)of the contem-porary spinal injury and 0.2%(106/55,423)of the contemporary human fractures;in group B,the upper cervical spine injury accounted for 1.2%(95/7,751)of the contemporary spinal injury and 0.2%(95/52,225)of the contemporary human fractures.Compared with group A,the proportion of type C atlas injury in group B increased by 39.6%.Conclusions The upper cervical spine fractures during the 10 years accounted for 1.6%of the spinal fractures and 0.2%of all human fractures.Most of the patients were young male adults.The axis fractures accounted for 70.1%of the upper cervical spine injury,most of which(62.4%)were dens fractures.8.0%of the patients were complicated with lower cervical spine injury.Comparisons between the former and latter 5 years showed no significant difference in gender constituent ratio,a significant difference in age constituent ratio and an increasing trend in type C atlas injury.
作者
杨宗酉
孙家元
刘磊
陈伟
殷兵
程晓东
张弢
孙然
赵海涛
张冰
刘勃
常恒瑞
张英泽
Yang Zongyou;Sun Jiayuan;Liu Lei;Chen Wei;Yin Bing;Cheng Xiaodong;Zhang Tao;Sun Ran;Zhao Haitao;Zhang Bing;Liu Bo;Chang Hengrui;Zhang Yingxue(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)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2017年第9期797-800,共4页
Chinese Journal of Orthopaedic Trauma
基金
河北省医学科学重点研究课题(20170659)
关键词
颈椎
寰椎
枢椎
骨折
流行病学
Cervical vertebrae
Atlas
Axis
Fractures,bone
Epidemiology
