CAJ | 학술논문

目的了解衡阳市先天性多指(趾)的流行病学特点及防治现状。方法采用2008-2011年期间以人群为基础的出生缺陷监测数据分析单发和综合征多指（趾）的流行病学特点和临床特点.追踪随访患儿至生后1岁，了解其结局及矫治情况。结果衡阳市多指(趾)畸形发生率为12.49/万，其中单发和多发畸形的发生率分别为11.66/万和0.82/万；婴儿期病死率分别为2.35%和50%。发生在手部单侧的畸形较双侧高出5倍；发生在足部单侧的畸形较双侧高出70％。83.5％的单发多指（趾）和33.3%的综合征多指(趾)患者进行了外科矫形治疗。单发多指(趾)畸形一次性治愈率达99.61％。结论衡阳市先天性多指(趾)发生率高，应积极采取措施加强畸形的预防和矫治。
목적료해형양시선천성다지(지)적류행병학특점급방치현상。방법채용2008-2011년기간이인군위기출적출생결함감측수거분석단발화종합정다지（지）적류행병학특점화림상특점.추종수방환인지생후1세，료해기결국급교치정황。결과형양시다지(지)기형발생솔위12.49/만，기중단발화다발기형적발생솔분별위11.66/만화0.82/만；영인기병사솔분별위2.35%화50%。발생재수부단측적기형교쌍측고출5배；발생재족부단측적기형교쌍측고출70％。83.5％적단발다지（지）화33.3%적종합정다지(지)환자진행료외과교형치료。단발다지(지)기형일차성치유솔체99.61％。결론형양시선천성다지(지)발생솔고，응적겁채취조시가강기형적예방화교치。
Objective To investigate the epidemiological features and the prevention and treatment of polydactyly (PD) in Heangyang. Methods The 2008-2011 data from Hengyang population-based birth defects surveillance system was used to analyse the epidemiological and clinical features of isolated and syndromic polydactly. All the affected newborns were followed up till one year of old to learn their treatments and outcomes. Rsults During the study period, the prevalence rates for the overall, isolated and syndromic polydactyly in Heangyang were 12.49, 11.66 and 0.82 per 10000 births respectively. And the fatality rates of isolated and syndromic polydactyly were 2.35% and 50%. For PDs in hands, unilateral forms were five times frequently occured than bilateral forms; while for PDs in feet, unilateral forms were 70% frequent than the bilaterals. 83.5% of infants with isolated PD had surgical corrections. Conclusion High prevalence of PD in Hengyang indicates that measures should be taken to improve the prevention and surgical correction of polydactyly.