儿童先天性拇指扳机指31例  

Study 31 cases of Congenital Trigger Thumb in Children

作　　者：方均强[1] 张振伟[1] 廖坚文[1] 

机构地区：[1]广东省深圳市沙井人民医院手外科,广东深圳518104

出　　处：《河北医学》2006年第1期26-28,共3页Hebei Medicine

摘　　要：目的:探讨儿童先天性拇指扳机指的病因、临床特点和分型及治疗方法。方法:局麻或静脉全麻下,对31例患儿行狭窄腱鞘部分切除术,12例加用肌腱成形术治疗。结果:全部病例经6个月至5年随访,均未复发,无术后粘连。结论:①儿童先天性拇指扳机指绝大多数不能自愈,非手术治疗效果差。②直视下的狭窄腱鞘部分切除术或加用肌腱成形术是目前较好的治疗方法。Objective ： To discuss etiology clinical feature , typing and treatment of congenital trigger thumb in children. Method： in 31 eases, under general aneshthesia, partial resection of Tendon sheath at the stenotie part was carried out , with additional tendon plasty in twelve cases. Remit ： No recurrence happened during six months to five years follow - up, No adhesion occurred after operation. Conclusion ：①Most cases of congenital trigger＇ thumb in children have poor effects in conservative. ②Partial resection of stenotic part of tendon sheath or additional tendon plasty is an effective method for treatment of this disease.

关 键 词：先是性 拇指扳机指 病因 治疗 

分 类 号：R726.8[医药卫生—儿科]