老年齿状突骨折的治疗方式及早期死亡率分析

Therapeutic method and early mortality in geratic patients with odontoid fracture

目的探讨老年齿状突骨折患者的治疗方式选择及早期生存分析。方法回顾性分析2003年至2015年就诊于我院的齿状突骨折(Ⅱ/Ⅲ型)患者共78例,将年龄>75岁的患者定义为老龄患者(n=25),年龄<75岁为非老龄患者(n=53),采集患者的基本临床资料,并进行出院后短期随访患者生存情况,并进行两组间对比分析。结果老年组与非老年组在性别比及手术方式之间差异无统计学意义(P>0.05),而在住院时间、ICU时间以及死亡率之间差异有统计学意义(P<0.05),经前路手术治疗的18.18%的患者伴有不融合,9.10%的患者伴有螺钉松动,短期内生存率与年龄相关,即老年组死亡率较非老年组显著性增加,而生存率与治疗方式的选择无关。结论老年齿状突骨折患者具有更高的死亡率,手术及保守治疗对患者的短期生存无显著性相关性。

Objective To explore the therapeutic method and analyze early mortality of geratic patients with odontoid fracture. Methods Between 2003 and 2015, totally 78 patients were included in this retrospective study, and were divided in to two groups based on their age. They were defined as elderly group when their age was elder than 75 years, the clinical data were collected and then comparative analysis was conducted with elderly group and un- elderly group. Results Both of sex ratio and therapeutic method in above groups were similar without significant difference（P〈0.05）,while for in-hospital duration, mortality and ICU（Intensive Care Unit） stays, there were significant differences between both groups. 18.18% with no fusion and 9.10% with screw loose, early mortality was high in the elderly group when compared with un- elderly group, however, with no correlation of therapeutic method. Conclusion Geriatric patients with odontoid fracture are with high mortality but is not associated with the therapeutic method.