| 郭保逢,秦泗河,潘奇,等.14 839例儿童肢体畸形临床数据分析.骨科,2021,12(4): 344-347. |
| 14 839例儿童肢体畸形临床数据分析 |
| Analysis of Clinical Data of 14 839 Children with Limb Deformity |
| 投稿时间：2021-05-25 |
| DOI：10.3969/j.issn.1674-8573.2021.04.010 |
| 中文关键词: 秦泗河矫形外科 儿童 肢体畸形 大数据分析 |
| 英文关键词: QIN Sihe orthopaedics Children Limb deformity Large data analysis |
| 基金项目:民政部康复领域重点实验室及工程技术研究中心运行项目开放课题（120603020068） |
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| 中文摘要: |
| 目的 总结分析秦泗河矫形外科团队近40年间手术治疗的万例儿童肢体畸形病例，探讨中国儿童肢体畸形病人的疾病谱、病种分布特征、变化趋势及治疗策略，为制定中国儿童肢体畸形防治措施提供依据。方法 检索秦泗河矫形外科团队手术病例资料数据库，选取1980年4月24日至2019年12月31日手术治疗的16岁以下肢体畸形患儿共14 839例，对病人就诊年龄、性别、病种分布构成、手术策略等进行归纳分析。结果 14 839例病人中，男9 556例（64.40%），女5 283例（35.60%），占同期矫形手术35 753例病人的42%；年龄为1~16岁，平均11.6岁，其中6~16岁病人12 831例（86.47%）；包括神经性、遗传性、代谢性、先天性、创伤性等150余个病种。病人最多的前6个病种分别为脊髓灰质炎后遗症、脑性瘫痪、先天性马蹄内翻足、脊柱裂后遗症、发育性髋关节脱位、创伤后遗症。矫形术式包括跟腱延长术等40余种手术方式。采用矫形手术联合骨外固定技术2 071例，其中应用Ilizarov环形外固定1 111例，应用组合式外固定960例。结论 秦泗河矫形外科儿童肢体畸形数据库近40年1万余例的病例资料时间跨度大、病种分布广、男性儿童为主。疾病谱中脊髓灰质炎后遗症虽排第一位但主要分布于上世纪末。目前脑瘫、发育性髋脱位、先天性马蹄内翻足是儿童肢体畸形的主要疾病。矫形治疗以软组织松解、平衡术为主，结合外固定技术的自然重建理念，对于儿童肢体畸形的矫正具有指导意义。 |
| 英文摘要: |
| Objective To summarize and analyze the cases of children's limb deformity treated by QIN Sihe orthopaedic surgery team in 40 years, and discuss the disease spectrum, disease characteristics and treatment strategies of Chinese children's limb deformity. Methods From April 24, 1980 to December 31, 2019, 14 839 children under 16 years of age were treated by surgery. The age, sex, etiology, composition and surgical strategy were analyzed. Results Of the 14 839 patients, there were 9 556 males (64.40%) and 5 283 females (35.60%) with the age of 1-16 years (average 11.6 years). Among them, 12 831 patients aged 6-16 years (86.47%). Aetiology included more than 150 diseases caused by neurological, hereditary, metabolic, congenital and traumatic diseases. The top 6 diseases were poliomyelitis sequelae, cerebral palsy, congenital horseshoe varus, spina bifida sequelae, developmental dislocation of hip, traumatic sequelae. Orthopedics treatment included achilles tendon lengthening and more than 40 surgical methods. Among the 2 071 cases, 1 111 cases were treated with Ilizarov ring external fixation and 960 cases were treated with combined external fixation. Conclusion The data of QIN Sihe orthopaedic database of children's limb deformities basically reflect the distribution characteristics, etiology and disease types and common treatment strategies of common children's limb deformities that can be treated by orthopaedic surgery in the past 40 years. The data of this study are mainly from boys, with wide distribution of diseases and large time span. Orthopaedic treatment is mainly soft tissue release and balance, combined with the concept of natural reconstruction of external fixation technology, which has guiding significance for the correction of children's limb deformities. |
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