河北医科大学第三医院2008-2012年成人髋部骨折合并骨折患者临床特征

Clinical features of hip fractures with combined fractures in adults of the Third Hospital of Hebei Medical University from 2008 to 2012

目的 调查成人髋部骨折合并骨折患者的临床特征.方法 回顾性分析2008年1月至2012年12月河北医科大学第三医院诊治的成人髋部骨折患者的临床资料,统计合并骨折患者的构成比并分析性别、年龄、合并骨折部位等临床特征.结果 髋部骨折共3 310例,存在合并骨折328例,合并骨折患者构成比9.91％;其中男性13.93％,女性6.40％;年龄上呈单峰分布,以30～＜40岁患者最多（26.88％）.合并骨折患者以70～＜80岁人数最多（56例）,男性30～ ＜40岁、40～＜50岁最多（均41例）,女性≥80岁最多（32例）.合并骨折536个部位,存在合并骨折的患者人均合并1.63个部位骨折,其中男性1.73个/人、女性1.45个/人.年龄上以16 ～ ＜20岁人均合并骨折数最高（2.22个部位/人）.中青年、男性患者最常合并骨折的部位为股骨中段、胫腓骨-踝、足.老年、女性患者最常合并骨折的部位为胸腰椎、尺桡骨远端.结论 中青年、男性患者最易合并其他部位骨折.中青年、男性合并的骨折部位以下肢骨折多见,老年、女性合并的骨折部位以胸腰椎、尺桡骨远端多见.

Objective To investigate the clinical characteristics and analyze the proportions of adult hip fracture patients combined with other sites of fractures.Methods Adult patients with hip fractures admitted to the Third Hospital of Hebei Medical University were retrospectively collected from January 2008 to December 2012.The proportions of patients combined with other fractures were calculated and the clinical features of gender,age and combined fracture sites were analyzed.Results A total of 3 310 patients with hip fracture were included,and 328 patients of them were combined with other site fractures,therefore with the proportions of 9.91%,and 13.93% for males,6.40% for females respectively.The patients aged ≥30 and 〈 40 years account for the highest （26.88%） proportion of combined fractures,with the single summit for incident age.The most amount of hip fracture patients with other site fractures were aged ≥ 70 and 〈80 years （56 patients）.Which were aged ≥ 30 and 〈 40 years,≥40 and 〈 50 years for males （41 patients）,while aged ≥ 80 years for females （32 patients）.There were a total of 536 combined fracture sites with 1.63 sites per patient,and 1.73 sites per males,1.45 sites per females.The highest of average sites per patient （2.22 sites / person） was occurred at age ≥ 16 and 〈 20 years.For youth or males patients,the most common combined fracture sites were diaphyseal femur fracture,tibia and fibula and ankle fractures,foot fractures.While for elderly or female patients,it were thoracolumbar fractures and distal radius and ulna fractures.Conclusions The young or male patients have the most possibility to combine with other sites of fractures.For youth or males,the most common combined fracture sites are concentrated in the lower limbs.While for elderly or female patients,thoracolumbar fractures and distal radius and ulna fractures are more commonly.