2003年至2012年河北医科大学第三医院成人单发趾骨骨折的流行病学研究

Epidemiological investigation of adult single toe fractures from 2003 through 2012 in the Third Hospital to Hebei Medical University

目的 调查成人单发趾骨骨折的流行病学特征并分析其变化趋势. 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成人骨折患者资料.将2003年1月至2007年12月的成人单发趾骨骨折患者资料定为A组,2008年1月至2012年12月的成人单发趾骨骨折患者资料定为B组,比较两组患者的一般资料,总结出10年期间成人单发趾骨骨折的流行病学特征及变化趋势,并进行分析. 结果 共收集成人骨折107 648例,其中成人足部骨折13 947例,成人单发趾骨骨折1 596例.单发趾骨骨折占同期足部骨折的11.4％,占同期全身骨折的1.5％;A、B两组分别有666例和930例单发趾骨骨折,分别占同期足部骨折的8.9％和14.3％,占全身骨折的1.2％和1.8％,差异均有统计学意义（P＜0.05）.男1123例（70.4％）,高发年龄段为21 ～30岁（28.6％）;女473例（29.6％）,高发年龄段为31～ 40岁（24.9％）. 60岁以上患者女性多于男性,男女比为0.9∶1.高发骨折类型为88-A型（61.1％）,高发趾骨骨折均为第1趾列.B组趾骨远端骨折构成比明显高于A组,差异有统计学意义（P＜0.05）. 结论 单发趾骨骨折男性患者多见于21 ～30岁,女性患者多见于31 ～40岁;60岁以上女性患者多于男性;第1趾列骨折最多;高发骨折类型为88-A型;骨折部位以趾骨远端最多.与前5年相比,后5年单发趾骨骨折占足部骨折的比例、占全身骨折比例和趾骨远端骨折构成比均升高.

Objective To investigate the epidemiological features and trends of adult single toe fractures in the last decade in our institution.Methods The data of adult human fractures that had been treated between January 2003 and December 2012 in our hospital were collected through the PACS system and case reports checking system.The data of adult single toe fractures between January 2003 and December 2007 were classified as group A and those between January 2008 and December 2012 as group B.The 2 groups were compared in terms of general demographics,gender distribution,age distribution and fracture side to analyze the epidemiological features and trends of the fractures during the last decade.Results A total of 107,648 adult human fractures were collected.Of them,13,947 cases were foot fractures and 1,596 single toe fractures which accounted for 11.4％ of the foot fractures and 1.5％ of the human fractures.There were 666 and 930 single toe fractures in groups A and B respectively,accounting for 8.9％ and 14.3％ of the foot fractures and 1.2％ and 1.8％ of the human fractures,respectively.The difference between the 2 groups were significant （P ＜ 0.05）.The adult single toe fractures affected 1,123 males （70.4％）,predominantly occurring in 21 to 30 years （28.6％）,and 473 females （29.6％）,predominantly occurring in 31 to 40 years （24.9％）.They affected more women above 60 years than men that age,with a male to female ratio of 0.9∶ 1.The most frequent type was 88-A （61.1％）,all of which involved the first digital ray.The proportion of distal toe fracture in group B was significantly higher than in group A （P ＜ 0.05）.Conclusions The adult single toe fractures in the last decade were likely to occur in the age of 21 to 30 years in men and 31 to 40 year in women.There were more women patients older than 60 years old than men patients that age.The 88-A was the most common fracture type and the first digital ray was the most affected.The distal toe fractures accounted for the largest proportion.Compared with the first 5 years,the proportions of single toe fracture in the foot and human fractures and the proportion of distal toe fractures were all increased in the second 5 years.