2003年至2012年河北医科大学第三医院肩胛颈骨折的流行病学研究

Epidemiological analysis of scapular neck fractures in the Third Affiliated Hospital to Hebei Medical University from 2003 through 2012

目的 分析10年期间河北医科大学第三医院肩胛颈骨折的流行病学特征及其变化趋势. 方法 对2003年1月至2012年12月河北医科大学第三医院收治的肩胛颈骨折患者资料进行回顾性分析,记录患者的性别、年龄和骨折Miller分型等数据.将2003年1月至2007年12月的患者资料定为A组,2008年1月至2012年12月的患者资料定为B组,比较两组患者的一般资料,总结出10年期间肩胛颈骨折的流行病学特征及变化趋势.结果 共收集424例肩胛颈骨折患者,男333例,女91例,男女比为3.66∶1;骨折高发年龄段为41 ～ 50岁（24.53％）;根据Miller分型,Ⅰ型骨折144例（33.96％）,Ⅱ型骨折230例（54.25％）,Ⅲ型骨折50例（11.79％）;稳定骨折344例（81.13％）,不稳定骨折80例（18.87％）.A组189例,男女比为3.85∶1;B组235例,男女比为3.52∶1;A组患者平均年龄为（37.8±14.8）岁,B组为（39.3±15.7）岁;两组患者性别构成比、平均年龄、年龄段分布及骨折Miller分型构成比比较差异均无统计学意义（P＞0.05）. 结论 肩胛颈骨折高发年龄段为41～50岁;平均年龄呈增长趋势;男性多于女性;骨折高发类型为MillerⅡ型骨折,稳定骨折较多见.

Objective To analyze the epidemiological features and trends of scapular neck fractures from 2003 through 2012 in our hospital.Methods The clinical data were collected of the patients with scapular neck fractures who had been treated between January 2003 and December 2012 in our hospital.The patients＇ gender,age and fracture type of Miller classification were documented.The data from January 2003 to December 2007 were assigned into group A and those from January 2008 to December 2012 into group B.The 2 groups were compared to find out the general epidemiological characteristics and trends in the recent 10 years.Results A total of 424 patients with scapular neck fractures were collected,including 333 males and 91 females.The total male/female ratio was 3.66∶ 1.The scapular neck fractures predominated in an age range of 41 to 50 years （24.53%）.According to Miller classification,there were 144 cases （33.96%） of type Ⅰ,230 ones （54.25%） of type Ⅱ and 50 ones （11.79%） of type Ⅱ.344 cases （81.13%） were stable fractures and 80 ones （18.87%） unstable fractures.The male/female ratio was 3.85∶1 in group A of 189 patients and 3.52∶1 in group B of 235 patients.The mean age of group A was 37.8 ± 14.8 years and that of group B 39.3 ± 15.7 years.There were no significant differences between the 2 groups in male/female ratio,mean age,distribution of age or Miller classification （P 〉 0.05）.Conclusions The peak age of scapular neck fractures was from 41 to 50 years.There was an increasing trend in the mean age.There were more male patients than female ones.The high-risk type was Miller type Ⅱ and stable fractures were more common.