96例先天性并趾畸形的临床特点  

Clinical characteristics of congenital foot syndactyly:96 cases report

作　　者：陈燕花 刘振宇 王琨[1] 陈振兵[1] Chen Yanhua;Liu Zhenyu;Wang Kun;Chen Zhenbing(Department of Hand Surgery,Union Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院手外科,武汉430022

出　　处：《骨科临床与研究杂志》2021年第2期95-99,共5页Journal Of Clinical Orthopedics And Research

摘　　要：目的探讨先天性并趾畸形的临床特点。方法对2015年1月至2019年6月华中科技大学同济医学院附属协和医院手外科收治的先天性并趾畸形患者的临床资料进行回顾性分析。记录患者性别以及并趾的侧别、临床类型、是否合并其他肢体畸形、累及的趾蹼和累及趾蹼数量等数据,采用SPSS 20.0软件对数据进行统计学分析,P<0.05为差异有统计学意义。结果纳入先天性并趾畸形患者96例,其中男47例,女49例;平均年龄38个月(15个月~34岁);单侧并趾76例(左33例,右43例),双侧并趾20例;简单并趾91例,复杂并趾5例;完全并趾57例,不全并趾39例;合并其他肢体畸形83例,无其他肢体畸形13例;共129个并趾,其中第1趾蹼并趾31个,第2趾蹼25个,第3趾蹼22个,第4趾蹼51个;单足有1个并趾71例,2个并趾19例,3个并趾4例,4个并趾2例。58例(60.4%)患者合并多趾。男性双侧并趾发病率显著高于女性(P=0.03);双侧并趾病例中男性比例和复杂并趾比例均高于单侧(P=0.03,0.01);45.8%单侧并趾累及第4趾蹼,42.4%双侧并趾累及第1趾蹼,差异有统计学意义(P=0.01);77.6%单侧并趾累及1个趾蹼,60.0%双侧并趾累及1个趾蹼,差异有统计学意义(P=0.03)。结论先天性并趾畸形发病无性别差异,大部分并趾畸形为单侧累及单个趾蹼的简单并趾,常合并其他肢体畸形,60%并趾畸形合并多趾,最常累及第4趾蹼;双侧并趾好发于男性,最易累及第1趾蹼,其中复杂并趾显著多于单侧并趾。Objective To study the clinical characteristics of congenital foot syndactyly.Methods Retrospective analysis was performed on the medical records of patients with congenital foot syndactyly admitted to Department of Hand Surgery,Union Hospital,Tongji Medical College of Huazhong University of Science and Technology between January 2015 and June 2019.The data of sex,involved side,clinical type,associated with malformations of limbs,the involved toe web and its number were collected and statistically analyzed using SPSS 22.0.Results Ninety-six cases of congenital foot syndactyly were identified,including 47 males and 49 females.Seventy-six cases involved one side(33 on the left,43 on the right)and 20 cases involved both sides.There were 91 cases of simple syndactyly,5 cases of complex syndactyly,57 cases with complete syndactyly,39 cases with partial syndactyly,83 cases associated with other limb deformity and 13 cases with no other limb deformity.A total of 129 toe webs were included,including 31 first inter-digital web,25 second inter-digital web,22 third inter-digital web and 51 fourth inter-digital web.On one side of foot,one inter-digital web were involved in 71 cases,2 in 19 cases,3 in 4 cases and 4 in 2 cases.Statistically,the incidence of bilateral foot syndactyly in male was higher than that in female(P=0.03).The ratio of male in bilateral foot syndactyly was higher than that in unilateral syndactyly(P=0.03).The incidence of complex syndactyly in bilateral foot syndactyly was higher than that in unilateral syndactyly(P=0.01).The fourth inter-digital web was involved in 45.8%of unilateral foot syndactyly,while the first inter-digital web was involved in 42.4%of bilateral foot syndactyly.There was a statistically significant difference(P=0.01).One web was involved in 77.6%of unilateral foot syndactyly,while in 60.0%of bilateral foot syndactyly.There was a statistically significant difference(P=0.03).Conclusion Congenital foot syndactyly has the following clinical features:no statistically difference in incide

关 键 词：并指(趾) 先天畸形 疾病特征 

分 类 号：R47[医药卫生—护理学]