摘要
目的调查并分析本地区跟腱损伤病例的流行病学特点,并就如何预防、提高治疗水平提出相应建议。方法对126例跟腱断裂住院患者进行调查,其中男性98例,女性28例;年龄2～69岁,平均（31.4±12.0）岁。根据致伤原因、合并伤及处理、入院日期、入院时段、并发症及预后情况等资料,建立数据库并分析该群体的流行病学特征。结果所有病例中,厕所瓷砖致伤占50.79%（64/126）,工作意外损伤占33.33%（42/126）;车轮绞伤占11.11%（14/126）。入院日期以每年7、9月居多,而厕所瓷砖致伤者则大多数发生在4、6月份。入院时段多集中在15∶00～次日1∶00,占71.43%（90/126）;9∶00～11∶00,占9.52%（12/126）。本组成功随访112例,平均随访42个月（3～75个月）。根据Arner-Lindholm疗效评定标准评估,优98例,良13例;优良率为99.11%。随访期内,跟腱再断裂率为5.36%（6/112）;术后总感染率为6.25%（7/112）,厕所瓷砖致伤感染率为10.71%（6/56）。结论厕所瓷砖致伤是跟腱断裂入院的主要致病因素,大多发生在潮湿、闷热月份沐浴时,而感染病例也多发生在此类患者。改善南方地区洗澡、厕所共室的传统布置格局,是减少此类损伤的根本、有效方法。
Objective To investigate and analyze epidemiological characteristics of achilles tendon injury in our district and to make appropriate recommendations on how to prevent and improve therapeutic levels.Meth-ods A total of 126 cases of achilles tendon rupture were studied.Database was founded on the basis of the follow-ing factors including injury causes,associated injuries and their management,admission date,admission time,compli-cations,prognosis and epidemiological characteristics.Results In these cases,the toilet tiles injury accounted for 50.79%（64/126）,work accident injury accounted for 33.33%（42/126）,and wheel twisted injury accounted for 11.11%（14/126）.The majority of admissions happened in July and September.However,the toilet tiles injury mostly occurred in April and June.Admission period was mostly concentrated between 15∶00 on the same day to 1∶00 on the next day,accounting for 71.43%（90/126）.Admissions from 9∶00 to 11∶00 accounted for 9.52%（12/126）.There were 112 cases followed up for an average of 42 months（3 months-75 months）.According to Ar-ner-Lindholm evaluation system,the treatment outcome was excellent in 98 cases and good in 13,with the excellent and good rate of 99.11%.During the follow-up period,the re-rupture rate was 5.36%（6/112）,the overall infec-tion rate was 6.25%（7/112） and the infection rate of toilet tiles injury was 10.71%（6/56）.Conclusion The split toilet tiles were the main causes of achilles tendon rupture in our department and most of the patients were in-jured during shower in hot and humid months,and infections also often occurred in these patients.It is a fundamen-tal and effective way for reducing such damage to change or improve the traditional pattern of the shower and toilet in the same room in southern China.
出处
《创伤外科杂志》
2015年第5期414-417,共4页
Journal of Traumatic Surgery
基金
佛山市医学类科技攻关项目(201308269)
关键词
跟腱断裂
划伤
瓷砖
流行病学
achilles tendon rupture
scratch
tiles
epidemiology
