2003年至2012年河北医科大学第三医院肩峰骨折的流行病学分析

Epidemiological investigation of acromial fractures in the Third Affiliated Hospital to Hebei Medical University from 2003 through 2012

目的 分析10年间河北医科大学第三医院肩峰骨折的流行病学特征及变化趋势. 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峰骨折患者资料进行回顾性分析,记录患者的性别、年龄、骨折类型等数据.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年间肩峰骨折的流行病学特征及变化趋势. 结果 共诊治肩峰骨折136例,占同期肩胛骨骨折的12.71％,占同期全身骨折的0.11％.男113例,女23例,男女比为4.91∶1.骨折按年龄段分布高发年龄段为31 ～ 40岁（30.88％）;骨折按Kuhn等分型,高发类型为Ⅰ区Ⅰ型（58.82％）.A、B组均为68例,分别占同期肩胛骨骨折的11.43％ （68/595）和14.32％ （χ2=1.985,P=0.159）.A、B组组男、女比分别为5.18∶1和4.67∶1,差异无统计学意义（χ2=0.052,P=0.819）;两组高发骨折类型均为Ⅰ区Ⅰ型,分别为57.35％和60.29％,差异无统计学意义（χ2=0.121,P=0.727）. 结论 肩峰骨折占肩胛骨骨折的12.71％,占全身骨折的0.11％,多发生于31 ～50岁的青壮年,男性多于女性,高发骨折类型为Ⅰ区Ⅰ型骨折.前、后5年相比肩峰骨折性别、年龄构成比及骨折类型分布等无明显变化.

Objective To investigate the epidemiological features and trends of acromial fractures in the Third Affiliated Hospital to Hebei Medical University from 2003 through 2012.Methods The data of acromial fractures which had been treated between 2003 January and 2012 December at our hospital were collected through the PACS system and case reports checking system.The data between January 2003 and December 2007 were classified as group A while those between January 2008 and December 2012 as group B.The 2 groups were analyzed and compared in terms of gender,age and fracture type distributions to find the epidemiological features and trends of acromial fractures in these 10 years.Results A total of 136 acromial fractures were identified,accounting for 12.71% of the scapular fractures and 0.11% of human fractures at the same period.There were 113 males （83.09%） and 23 females（16.91%）,giving a male to female ratio of 4.91∶ 1.The peak age of acromial fractures was from 31 to 40 years of age （30.88%） and the predominant Kuhn classification was type Ⅰ at zone Ⅰ （58.82%）.There were 68 cases in both groups,accounting for 11.43% and 14.32% of the contemporary scapular fractures （χ2 =1.985,P =0.159）.The male to female ratios in groups A and B were 5.18∶1 and 4.67∶ l,showing no significant difference （χ2 =0.052,P =0.819）.Fractures of Kuhn type Ⅰ at zone Ⅰ were predominant in both groups,showing no significant difference （57.35%versus 60.29%） （χ2 =0.121,P =0.727）.Conclusions Acromial fracture accounted for 12.71% of the scapular fractures and 0.11% of human fractures at the period from 2003 through 2012 at our institute.They happened more in young adults and males.Kuhn type Ⅰ at zone Ⅰ was predominant.There were few changes in gender,age and fracture type distributions at the period from 2003 through 2012 at our institute.