2015—2020年中国西部地区老年髋臼骨折患者流行病学特点

Epidemiological characteristics of geriatric acetabular fracture in western China during 2015-2020

目的分析中国西部地区老年髋臼骨折患者的流行病学特点。方法采用回顾性病例系列研究分析2015年1月至2020年12月西部地区4家三甲医院住院收治的老年髋臼骨折患者资料,调查内容包括患者性别、年龄、发病率、致伤原因、合并伤及合并症、骨折类型、治疗方案。结果共纳入299例患者的医疗记录,其中男203例,女96例;年龄60~97岁[(68.6±7.6)岁]。患者平均年龄从67.5岁上升到71.1岁。发病率从39例/年上升到64例/年。主要致伤原因为交通伤(42.47%),其次为摔伤(30.44%)。胸部损伤为最主要合并伤(39.81%),高血压为主要合并症(28.76%)。最主要的骨折类型为前柱+后半横形骨折(31.32%)。在299例患者中,共210例患者接受了手术治疗,手术占比70.23%。结论老年髋臼的发病年龄、发病率逐年增长,主要致伤原因是交通伤,以胸部为最主要合并伤,高血压是最常见的合并症,前柱+后半横形骨折是最常见的骨折类型,手术是主要治疗方案。

Objective To analyze the epidemiological characteristics of geriatric acetabular fractures in western China.Methods A retrospective case series study was made on data of geriatric patients with acetabular fracture hospitalized in 4 grade A hospitals in western China from 2015 to 2020.The investigation content included gender,age,incidence rate,injury mechanism,combined injuries,comorbidities,fracture types and treatment plans.Results A total of 299 geriatric patients with acetabular fractures were included,including 203 males and 96 females,aged 60-97 years[(68.6±7.6)years].The mean age of the patients was increased from 67.5 years to 71.1 years.The incidence rate was increased from 36 cases per year to 64 cases per year.The injury mechanism was mainly traffic accidents(42.47%),followed by falls(30.44%).Thoracic injury was the most common type of combined injuries(39.81%).Hypertension was the main comorbidity(28.76%).The most common fracture type was anterior column posterior hemitransverse fracture(31.32%).Of 299 patients,210 received surgical treatment,with the surgery rate of 70.23%.Conclusions Geriatric acetabular fracture is characterized by gradually increased age and incidence rate,traffic accidents as the main cause of injury,thoracic injury as the main combined injury,hypertension as the main comorbidity,anterior column posterior hemitransverse fracture as the main fracture type and surgery as the main treatment option.