广西南宁市跟腱断裂的流行病学特点  

Epidemiological Characteristics of Achilles Tendon Rupture in Nanning City,Guangxi

作　　者：杨威[1] 苏伟[1] 李书振[2] 吴永祥[3] 杜刚[4,5] 陈源[6] 

机构地区：[1]广西医科大学第一附属医院创伤骨科手外科,南宁市530021 [2]广西中医药大学附属瑞康医院骨四肢科二区,南宁市530011 [3]广西医科大学附属南宁市第一人民医院骨科一区,南宁市530022 [4]广西医科大学第三附属医院 [5]南宁市第二人民医院骨科一区,南宁市530031 [6]广西南宁市中医院骨科一区,南宁市530001

出　　处：《广西医学》2014年第5期637-640,共4页Guangxi Medical Journal

摘　　要：目的探讨南宁市跟腱断裂的流行病学特点,为预防其发生提供依据。方法回顾性分析南宁市区5所医院收治的229例跟腱断裂患者的有关资料,分析跟腱断裂的流行病学特点。结果跟腱断裂患者年龄以21~40岁为主（占55.02%）,男∶女为5.03∶1。闭合性跟腱断裂120例占52.40%,以运动性损伤为主（70.00%）,且大部分患者为公司职员与公务员（56.67%）;开放性跟腱断裂109例占47.60%,主要损伤原因为利器割伤（44.95%）与踩入便盆（24.77%）,职业以农民（46.79%）和学生（26.61%）为主。断裂部位以跟腱止点上2~6 cm为主（80.35%）。跟腱断裂的好发季节主要为夏季与秋季（55.90%）,地点以运动场（或体育馆）最常见（36.24%）。结论跟腱断裂有其自身的流行病学特点,应采取针对性措施以降低其发生率。Objective To investigate the epidemiological characteristics of achilles tendon rupture in Nanning City , and to provide a basis for the prevention of the disease .Methods The clinical data of 229 patients with achilles tendon rupture who were hospitalized in the five hospitals in Nanning City were retrospectively analyzed ,and the epidemiological characteristics of achilles tendon rupture were also analyzed .Results The ages of patients with achilles tendon rupture were mainly 21 to 40 years old（55.02%）.The male to female ratio was 5.03 ∶1.Closed achilles tendon rupture（120 cases,52.40%） were mainly sports injury（70.00%）,and most patients′careers were company employee and civil servant （56.67%）.Open achilles tendon rupture（109 cases,47.60%） was mainly due to sharp cutting（44.95%） and stepping into potty（24.77%）,their careers were mainly farmer（46.79%） and student（26.61%）.The breakpoint of achilles tendon rupture was mainly at 2-6 cm upper calcaneal tubercle（80.35%）.The achilles tendon rupture often occurred in summer and autumn （55.90%）,and the most common location were in the playground （or stadium）（36.24%）.Conclusion Achilles tendon rupture owns its epidemiological characteristics .We should take targeted measures to reduce its incidence according to its characteristics .

关 键 词：跟腱断裂 流行病学 运动 预防 广西南宁市 

分 类 号：R685.41[医药卫生—骨科学]