2003年至2012年河北医科大学第三医院儿童骨盆骨折的流行病学研究

Epidemiologic survey of paediatric pelvic fractures in The Third Hospital of Hebei Medical University between 2003 and 2012

目的探讨10年期间河北医科大学第三医院儿童骨盆骨折的流行病学特征及变化趋势。方法回顾性分析2003年1月至2012年12月期间诊治的儿童骨盆骨折患者资料．记录患儿的性别、年龄、骨折Torode．Zieg分型及伴发损伤等数据。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年期问儿童骨盆骨折的流行病学特征及变化趋势。结果共诊治233例儿童骨盆骨折患者，占同期所有骨盆骨折的5．30％（233／4394），占同期儿童全身骨折的1．24％（233／18831）。男134例，女99例，男女比为1．35：1。骨折高发年龄段为11～15岁（50．64％）。高发骨折类型为Torode-Zieg分型Ⅲ型（44．64％）。A、B组分别为106、127例，占同期所有骨盆骨折的比例分别为5．43％（106／1953）、5．20％（127／2441），占同期儿童全身骨折的比例分别为1．08％（106／9844）、1．41％（127／8987）；男女比分别为1．94：1、1．02：1；平均年龄分别为（9．9±4．6）、（9．4±4．6）岁；骨折高发类型均为Ⅲ型；合并伤患者所占比例分别为18．87％（20／106）、18．11％（23／127）。两组患儿占同期儿童全身骨折的比例、男女比比较差异均有统计学意义（P〈0．05），而患者平均年龄、骨折Torode—Zieg分型分布及合并伤患者所占比例比较差异均无统计学意义（P〉0．05）。结论儿童骨盆骨折占所有骨盆骨折的5．30％，骨折高发年龄段为11～15岁，男性多于女性，Torode-Zieg分型Ⅲ型骨折最多见；后5年女性儿童骨盆骨折患者较前5年明显增加。

Objective To investigate the epidemiological characteristics and trends of pediatric pelvic fractures in The Third Hospital of Hebei Medical University during a ten-year period from 2003 to 2012. Methods A retrospective analysis was performed of the data of pediatric pelvic fractures from January 2003 to December 2012 in our hospital. The gender, age, fracture pattern according to Torode-Zieg classification and combined injury were recorded. The data between January 2003 and December 2007 were defined as group A while the data between January 2008 and December 2012 as group B. The 2 groups were compared to find out the general epidemiological characteristics and trends in the 10 years. Results A total of 233 pediatric pelvic fractures were included, accounting for 5.30% （233/4, 394） of the contemporary pelvic fi＇actures. There were 134 males and 99 females, with a male to female ratio of 1.35： 1. The peak age of pediatric pelvic fractures was from 11 to 15 years old （50.64%）. The most common fi＇acture was type m according to Torode-Zieg classification（44.64% ） . There were 106 cases in group A and 127 in group B, accounting for 5.43% （106/1, 953） and 5.20% （127/2, 441） of the contemporary pdvic fractures, and1.08% （106/9 844） and 1.41% （127/8, 987） of the contemporary pediatric fractures, respectively. In groups A and B, the male to female ratio was 1.94：1 and 1.02： 1, the average age 9.9 ±4.6 years and 9.4 ±4.6 years, the predominant fracture pattern both type Ⅲ, and the proportion of patients with compli- cated injury 18. 87% （20/106） and 18. 11% （23/127）. There were significant differences between the 2 groups in constituent ratio to the eontemporary pediatric fractures and male to female ratio （ P 〈 0. 05）. There were no significant differences between the 2 groups in average age, Torode-Zieg classification, or constitute ratio of complicated injury （ P 〉 0. 05 ）. Conclusions Pediatric pelvic fractures accounted for 5.30% of all the pelvic fractures. The fractures occurred the most frequently in the age group of 11 to 15 years. Males were more than females. Torodc-Zicg type Ⅲ was the most common. The latter 5 years witnessed significantly more female pelvic fractures than the first 5 years.