成人绞刑架骨折患者的临床特征分析：一项基于多中心临床数据的回顾性研究。
Analysis of the clinical characteristics of adult patients with hangman's fractures: A retrospective study based on multicenter clinical data.
作者信息
Li Guangzhou, Wang Qing
机构信息
The Affiliated Hospital of Southwest Medical University, Luzhou, China.
出版信息
Front Surg. 2023 Apr 4;10:949987. doi: 10.3389/fsurg.2023.949987. eCollection 2023.
BACKGROUND
There are few reports on the clinical characteristics of adult patients with hangman's fractures.
METHODS
The clinical data of adult patients were collected from the hangman's fracture database of 7 medical centers. Data on patients who met the inclusion and exclusion criteria were retrospectively analyzed. Data, including gender, age, mechanism of injury, fracture classification, and treatment, were statistically analyzed.
RESULTS
A total of 216 eligible patients (160 males and 56 females, with a mean age of 49.7 years) were selected. There was no statistically significant difference in gender distribution of different age groups. The male-to-female ratio was similar in the young group (18-44 years) and the middle-aged group (45-64 years) (both about 3:1) but decreased in the elderly group (65 years and above) (about 2:1). Overall, high-energy injury was the main mechanism of injury. There was a statistically significant difference in the percentage of patients with high-energy injury in various age groups (the highest in the young group, and the lowest in the elderly group). Overall, unstable fracture was the main fracture type, with a higher proportion in the young and elderly groups than that in the middle-aged group, but there was no statistically significant difference. From the perspective of treatment options, the percentage of patients receiving surgery was higher in the young and elderly groups than that in the middle-aged group.
CONCLUSION
Hangman's fracture is predominant in males of all age groups, with high-energy injury as the main mechanism of injury. Unstable fracture is common fracture type. The percentage of patients receiving surgery in the young and elderly groups is higher than that in the middle-aged group, which may be correlated with the high incidence of unstable fracture and the life characteristics of the patients in the young and elderly age groups.
背景
关于成人绞刑骨折患者临床特征的报道较少。
方法
从7个医疗中心的绞刑骨折数据库收集成年患者的临床资料。对符合纳入和排除标准的患者数据进行回顾性分析。对包括性别、年龄、损伤机制、骨折分类和治疗等数据进行统计分析。
结果
共纳入216例符合条件的患者（男性160例，女性56例，平均年龄49.7岁）。不同年龄组的性别分布无统计学差异。青年组（18 - 44岁）和中年组（45 - 64岁）的男女比例相似（均约为3:1），但老年组（65岁及以上）的男女比例下降（约为2:1）。总体而言，高能损伤是主要损伤机制。各年龄组高能损伤患者的比例存在统计学差异（青年组最高，老年组最低）。总体而言，不稳定骨折是主要骨折类型，青年组和老年组的比例高于中年组，但无统计学差异。从治疗选择来看，青年组和老年组接受手术治疗的患者比例高于中年组。
结论
绞刑骨折在各年龄组男性中均占主导，高能损伤是主要损伤机制。不稳定骨折是常见骨折类型。青年组和老年组接受手术治疗的患者比例高于中年组，这可能与青年组和老年组不稳定骨折的高发病率以及患者的生活特征有关。
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