手部发育畸形的影像特征与临床分型对照分析  

Hand malformations imaging characteristics and clinical classification ： a case-control study

作　　者：陈勇[1] 刘杰[1] 张泽坤[2] 丁建平[1] 

机构地区：[1]杭州师范大学附属医院放射科,310015 [2]河北医科大学第三医院

出　　处：《中华医学杂志》2015年第19期1534-1536,共3页National Medical Journal of China

摘　　要：目的探讨手部发育畸形的影像特征及临床分型，尝试性提出影像学分类方法。方法回顾性分析1971—2014年杭州师范大学附属医院和河北医科大学第三医院收治的101例手部发育畸形病例的影像和临床资料。按影像学形态分为5类：未形成，形成不全，过形成，分节异常或联合，异常弯曲或变形。并与Swanson分类法进行对照。结果101例手部发育畸形中共14种畸形，分别发生于指骨12种，掌骨1种，腕骨1种。以影像学特征分类：未形成4种（缺指骨畸形、裂手畸形、缺掌骨畸形、无指骨节畸形），形成不全1种（短指畸形），过形成3种（巨指畸形、长指畸形、多指畸形），分节异常或联合3种（并指畸形、指骨节联合畸形、腕骨联合畸形），异常弯曲或变形3种（倾斜指畸形、弯曲指畸形、Kirner畸形）。结论手部发育畸形种类繁多，如以病因或基因分类可能会比较混乱，而以影像学特征为基础进行分类则较为理想，有利于记忆和手术矫形。Objective To discussion of hand malformations imaging features and clinical classification, tentatively proposed radiological classification. Methods A retrospective analysis of the clinical data and image of 101 cases of hands developmental deformity and admitted to hospital affiliated to 1971 - 2014 years in The Affiliated Hospital of Hangzhou Normal University and the Third Hospital of Hebei Medical University. It is divided into five types base on imaging features： no formation, hypoplasy, over formation, segmental abnormal or joint, bend or abnormal and comparing with classification of Swanson. Results 101 cases of hand deformity in a total of 14 kinds of deformity,respectively in phalanx 12 kinds, 1 kind of metacarpal, 1 kind of carpal . With imaging features classification： 4 kinds of no formation （cctrodactyly, cleft hand, ectrometacarpia, aphalangia）, 1 kind of hypoplasy （brachydactyly）, 3 kinds of over formation （ macrodactyly, long finger malformations, polydactyly）, 3 kinds of segmental abnormal or joint （syndactyly, symphalangism, carpal coalition ）, 3 kinds of bend or abnormal （clinodactyly, camptodactyly, Kirner deformity）. Conclusions There are many different kinds of hand malformations,the classification according to the cause or the gene would be more confusing, but with imaging features as the basis for classification is more ideal, and it is good for memory and orthopedic surgery.

关 键 词：手 骨骼 手畸形 诊断显像 

分 类 号：R658.2[医药卫生—外科学] R816.8[医药卫生—临床医学]