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中国天津地区10年间胸腰椎骨折的流行病学概况

Epidemiological profile of thoracolumbar fracture (TLF) over a period of 10 years in Tianjin, China.

作者信息

Li Bo, Sun Chao, Zhao Chenxi, Yao Xue, Zhang Yan, Duan Huiquan, Hao Jian, Guo Xing, Fan Baoyou, Ning Guangzhi, Feng Shiqing

机构信息

a Department of Orthopedics , Tianjin Medical University General Hospital , Tianjin , China.

b Tianjin Neurological Institute , Key Laboratory of Post-Neuroinjury Neuro-repair and Regeneration in Central Nervous System , Ministry of Education and Tianjin City, Tianjin , China.

出版信息

J Spinal Cord Med. 2019 Mar;42(2):178-183. doi: 10.1080/10790268.2018.1455018. Epub 2018 Mar 29.

Abstract

CONTEXT/OBJECTIVE: The objective of the research was to illustrate the epidemiology profile of thoracolumbar fracture (TLF) in Tianjin Medical University General Hospital, China, from 2006-2015.

DESIGN

Hospital-based retrospective study.

SETTING

Tianjin Medical University General Hospital.

METHODS

Medical records of inpatient patients with TLF from 1 January 2006 to December 2015 were collected. Detailed information on epidemiological characters were analyzed based on the medical records suffering from TLF from T11-L2 level, including incidence, age and sex, marital, occupation, etiology and fracture type, types of injuries.

RESULTS

Totally 132 cases were identified. The incidence rate was 2.4 patient per million population at 2015. Male-to-female ratio was 1.4:1, with a mean age of 49.1 ± 17.7 years. The cases number in 46-60 group, totally 35 and accounting for 26.5%, was the largest. There is a significant differences of cases number between 2011-2015 group and 2006-2010 group. Retiree, taken up 48.5%, was the largest group among TLF patients. The most common injury level was T12 (34) accounting for 25.7%. Falls (57, 43.2%) (low falls and high falls) were the leading causes, followed by motor vehicle collisions (MVCs) (23, 17.4%).Compression is the only type of osteoporosis and took up 55.3%.

CONCLUSIONS

The incidence ratio is increased annually in TMUGH. Male was more vulnerable than female based on different social character. The average age was older in 2011-2015, retiree accounted for the main proportion and compression took up the largest percentage, the mean age increased and osteoporosis takes more in recent years.

摘要

背景/目的:本研究旨在阐述2006年至2015年中国天津医科大学总医院胸腰椎骨折(TLF)的流行病学概况。

设计

基于医院的回顾性研究。

地点

天津医科大学总医院。

方法

收集2006年1月1日至2015年12月期间TLF住院患者的病历。基于T11-L2水平TLF患者的病历,分析流行病学特征的详细信息,包括发病率、年龄和性别、婚姻状况、职业、病因和骨折类型、损伤类型。

结果

共识别出132例病例。2015年发病率为每百万人口2.4例。男女比例为1.4:1,平均年龄为49.1±17.7岁。46-60岁组病例数最多,共35例,占26.5%。2011-2015年组与2006-2010年组病例数存在显著差异。退休人员占TLF患者的比例最大,为48.5%。最常见的损伤节段是T12(34例,占25.7%)。跌倒(57例,占43.2%)(包括低位跌倒和高位跌倒)是主要原因,其次是机动车碰撞(MVCs)(23例,占17.4%)。压缩性骨折是骨质疏松性骨折的唯一类型,占55.3%。

结论

天津医科大学总医院TLF发病率逐年上升。基于不同社会特征,男性比女性更易患病。2011-2015年平均年龄较大,退休人员占主要比例,压缩性骨折占比最大,近年来平均年龄增加,骨质疏松症患者增多。

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