摘要
背景:随着人均寿命的延长,骨质疏松人数的增加,老年人发生股骨转子间骨折的概率呈上升趋势。由于老年患者多伴有较多的内科病不能耐受长期卧床,保守治疗病死率高,目前多主张对有条件的患者尽早行手术治疗。目的:探讨股骨转子间骨折的发病情况及其流行病学分布特点。方法:对天津医科大学总医院2013至2015年就诊的179例股骨转子间骨折患者的数字影像资料和基本资料进行回顾性分析,筛选出50岁以上的股骨转子间骨折患者,记录并比较其年龄、性别、致伤原因、骨折类型、主要伴发病的分布以及治疗方式、住院天数等资料。结果与结论:(1)共纳入研究股骨转子间骨折患者179例,其中男66例(36.9%)、女性113例(63.1%);平均年龄为(76.98±9.73)岁,其中81-90岁所占比例最高(71例,39.7%);随着年龄的增长,因跌倒造成的髋部骨折显著增加;(2)AO分型中31-A1型所占比例最高(46.4%),31-A3型所占比例最低(22.9%);Evans分型中Ⅰ型所占比例最高(50.3%),Ⅴ型所占比例最低(2.2%);(3)全组手术治疗占93.3%(167/179),非手术治疗占6.7%(12/179);(4)在51-60岁组股骨转子间骨折患者中,男性均多于女性;在61-70岁组患者中,除2013年女性多于男性外,也均是男性患者多于女性;在71-80岁与81-90岁组患者中,女性患者均多于男性;在≥90岁组患者中,男女性别差异无显著性意义;(5)结果提示,股骨转子间骨折是以老年人占绝大多数、以跌倒为主要致伤原因的骨质疏松性骨折;老年人股骨转子间骨折手术治疗虽然有较大风险,但仍是其主要有效治疗手段;股骨转子间骨折逐年上升,其中71-90岁组所占比例较高,女性高于男性。
BACKGROUND:With an aging population increasing,the incidence of senile femoral intertrochanteric fractures is on a rise because of osteoporosis.Due to the aged usually accompanied with systematic diseases,conservative treatment will lead to high mortality after long-term bedridden.Thereafter,early surgery is recommended.OBJECTIVE:To investigate the incidence of femoral intertrochanteric fractures and its epidemiological features.METHODS:The digital radiography data and basic information of 179 patients(over 50 years of age)with femoral intertrochanteric fractures admitted in the General Hospital of Tianjin Medical University from 2013 to 2015 were analyzed retrospectively.The data including age,gender,injury causes,fracture types,complications,treatment procedures,and hospitalization time were recorded and compared.RESULTS AND CONCLUSION:All the 179 cases of femoral intertrochanteric fractures were enrolled,including 66(36.9%)males and 113(63.1%)females.The mean age was(76.98±9.73)years,and the number of patients aged 80-90 years was the most(n=71,39.7%).With the age increasing,the incidence of fall-induced hip fractures was increased.By AO classification,type 31-A1 was the most common fracture type(46.4%),and type 31-A3 was the least common type(22.9%).By Evans classification,type I was the most common type(50.3%),and type V was the least common type(2.2%).There were 93.3%patients underwent surgical treatment(167/179),and 6.7%received conservative treatment(12/179).In the age group of 51-60 years,the male patients were more than females;in the age group 61-70 years,the male patients were more than females except in 2013;in the age groups of 71-80,and 81-90 years,the female patients were more than males;in the age group of over 90 years,there was no significant difference between female and male patients.These results manifest that the majority of hip fracture patients are the elderly,and slipping and osteoporosis are the leading causes.In spite of accumulating operative risks with aging,surgical treatment remains the predominant management strategy.Besides,the incidence of femoral intertrochanteric fractures shows a trend of increase yearly,with the highest incidence in the age group of 71-90 years,especially in females.
作者
梁玉柱
郭洪刚
Liang Yu-zhu;Guo Hong-gang(1Tianjin Medical University,Tianjin 300052,China;2the General Hospital of Tianjin Medical University,Tianjin 300052,China)
出处
《中国组织工程研究》
CAS
北大核心
2018年第8期1167-1172,共6页
Chinese Journal of Tissue Engineering Research
关键词
股骨骨折
骨质疏松
流行病学
组织工程
Femoral Fractures
Osteoporosis
Epidemiology
Tissue Engineering
作者简介
梁玉柱,男,1987年生,河北省文安县人,汉族,2017年天津医科大学毕业,硕士,主要从事骨科方面的研究。
