2596例跟腱断伤患者临床分析

Clinical Analysis of 2 596 Patients with Achilles Tendon Rupture

目的:探讨2 596例跟腱断伤患者临床分析及提出防范跟腱断伤的对策。方法:根据国内中文数据库各类生物医学期刊,查阅20年来有关跟腱断伤患者的诊断与治疗的文献报道,就其导致跟腱断伤的各种原因进行统计,建立数据库,分析各种原因的地域和群体性特征。结果:共查阅相关文献报道共200余篇,其中166篇文章明确记载了导致跟腱断伤的原因,累计病例2 596例,闭合性断伤占56.39%,开放性断伤占43.61%。受伤原因:运动性断伤46.34%,利器片切割38.21%,交通伤5.51%,农机具挖割伤4.62%,钝击伤3.35%,其他原因伤1.96%。结论:跟腱断伤呈现明显的地域和群体特征:我国华北、东北等内陆地区以闭合性断伤居多,运动性断伤为最主要原因,学校师生、公务和公职人员为主要的受害群体。华南和华东等沿海地区以开放性断伤居多,卫生瓷盆片、玻璃片等利器片切割为最主要原因,工人和农民是最主要的受伤群体。

Objective:To investigate the clinical analysis of 2 596 patients with achilles tendon rupture and put forward the countermeasures to prevent achilles tendon rupture.Method:According to the various types of biomedical journals in Chinese databases,the literature reports on the diagnosis and treatment of patients with achilles tendon rupture in the past 20 years were reviewed.The statistics on various causes of achilles tendon injury were conducted,databases were established,and various causes of regional and group characteristics were analyzed.Result:A total of more than 200 articles were reported.Among them,the causes of achilles tendon rupture were clearly documented by 166 articles.A total of 2 596 cases were reported,the closed wounds accounted for 56.39%and open fractures accounted for 43.61%.The causes of injury:46.34%of sport-related injuries,38.21%of weaponry cuts,5.51%of traffic injuries,4.63%of agricultural machinery cuts,3.35%of blunt injuries and 1.96%of other injuries.Conclusion:Achilles tendon rupture presents obvious geographical and group characteristics:North China,Northeast China and other inland areas are mostly closed fractures,sports injury is the main reason,school teachers and students,public and public officials as the main victims.Most of the coastal areas in South and East China suffer from open fractures.Cuts such as sanitary ware and glass tablets are the most common cause.Workers and peasants were the main injury groups.