439例上肢创伤性截肢患者流行病学特征分析  

Epidemiological characteristics analysis of 439 patients with upper limb traumatic amputation

作　　者：何旭宸 闫旭杰 汪凯 殷渠东[2] 毛栋 林芳[2] 芮永军[2] He Xuchen;Yan Xujie;Wang Kai;Yin Qudong;Mao Dong;Lin Fang;Rui Yongjun(Suzhou Medical College of Suzhou University,Suzhou 215104,China;Department of Orthopedic Trauma,Wuxi Ninth Peoples Hospital,Wuxi 214062,China)

机构地区：[1]苏州大学苏州医学院,苏州215104 [2]苏州大学附属无锡九院创伤骨科,无锡214062

出　　处：《中华手外科杂志》2025年第1期42-45,共4页Chinese Journal of Hand Surgery

摘　　要：目的:探讨上肢创伤性截肢流行病学特征。方法:回顾性分析自2014年1月至2020年12月我们收治的上肢创伤性截肢患者资料,包括年龄、性别、职业、基础疾病、吸烟史、受伤及受伤程度、肢体缺血时间、住院时间、手术时间及次数,分析其流行病学分布特点。结果:本组共439例,男297例,女142例;年龄3~82岁,平均(46.40±12.44)岁,41~50岁患者最多见,占31.44%;62.42%患者职业为工人。28.47%患者有基础疾病;13.67%患者有吸烟史。肢体缺血时间超6 h占39.18%;429例发生开放性损伤,Gustilo ⅢC型占95.57%,MESS评分≥7占95.80%。第四季度和机器损伤是主要的受伤时间和原因(分别为36.22%和73.34%)。一期截肢占74.03%,其平均住院时间及手术次数明显少于二期截肢者( P<0.05)。 结论:上肢创伤性截肢多见于男性、中年人、工人和高血压患者。第四季度和机器损伤是主要的受伤时间和原因。一期截肢对于减少患者身体痛苦和经济负担有益。Objective:To investigate the epidemiological characteristics of upper limb traumatic amputation.Methods:A retrospective analysis was conducted on the data of upper limb traumatic amputation patients admitted to our hospital from January 2014 to December 2020,including age,gender,occupation,underlying disease,smoking history,injury and severity,limb ischemia time,hospitalization time,surgical time and frequency,and the epidemiological distribution characteristics were analyzed.Results:There was a total of 439 cases in this group,with 297 males and 142 females.The age ranged from 3 to 82 years old,with an average of(46.4±12.44)years old.The patients aged 41 to 50 years old were the most common,accounting for 31.44%.62.42%of patients were workers.28.47%of patients had underlying diseases.13.67%of patients had a history of smoking.39.18%of patients had limb ischemia time exceeding 6 hours.429 cases experienced open injuries,with GustiloⅢC type accounting for 95.57%and MESS score≥7 accounting for 95.80%.The fourth quarter and machine damage were the main time and cause of injuries(36.22%and 73.34%,respectively).The proportion of one-stage amputation surgery was 74.03%,and their average hospitalization time and number of surgeries were significantly lower than those in two-stage amputation surgery(P<0.05).Conclusion:Upper limb traumatic amputation is more common in males,middle-aged people,workers,and hypertensive patients.The fourth quarter and machine damage are the main time and cause of injuries.One-stage amputation is beneficial for reducing the patient′s physical pain and financial burden.

关 键 词：上肢 流行病学 创伤性截肢 MESS评分 

分 类 号：R683.4[医药卫生—骨科学]