不同术式治疗小儿并指畸形临床研究  

Clinical effects of different methods and operation time for children with congenital syndactylia

作　　者：富玲[1] 

机构地区：[1]沈阳医学院附属中心医院手外二科,辽宁沈阳110024

出　　处：《临床军医杂志》2017年第9期937-939,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨不同术式及手术时间治疗小儿先天性并指的临床疗效。方法选取2010年1月至2016年12月沈阳医学院附属中心医院收治的50例先天性并指患儿,根据指蹼成形术的不同分为A组(n=27)和B组(n=23)。A组采取掌背侧逆行岛状皮瓣重建指蹼,B组采取掌背侧三角形皮瓣形成指蹼,比较不同术式对手部外观及功能恢复的影响。结果两组患儿间瘢痕挛缩、皮肤色泽、指蹼爬升、指蹼宽度和深度间差异比较,差异无统计学意义(P>0.05)。不同年龄段,挛缩的发生概率比较,差异有统计学意义(P<0.05)。在年龄≤1.5岁的患儿中,A组和B组患儿挛缩的发生概率分别为42.9%(3/7)和33.3%(2/6),两组间比较,差异无统计学意义(P>0.05)。结论两种术式治疗先天性并指畸形均能获得良好的临床疗效,但需要掌握手术时机,才能达到最佳的临床效果。Objective To investigate the clinical effects of different methods and operation time for children with congenital syndactylia.Methods A retrospective study was performed on 50 cases of children with congenital syndactylia who were admitted from January 2010 to December 2016.According to different fingerweb arthroplasty methods,children were divided into Group A（n=27） and Group B（n=23）.Children in Group A were performed fingerweb arthroplasty using reversed island flap on the dorsal side of the palm,the others in Group B were used triangle flap of the dorsal side of the palm; the appearance and function recovery of different operations were compared.Results There were no statistically significant differences in scar contracture,skin color,fingerweb mobility,fingerweb width and depth between the two groups（P0.05）.In different age groups,the occurrence rate of scar contracture had statistically significant difference（P0.05）.For the children younger than one year and a half,the occurrence rate of scar contracture in Group A and Group B was 42.9% and 33.3%,respectively,there was no statistical significant difference between the two groups（P 0.05）.Conclusion Both of these two methods may get satisfied clinical effect,the proper operation time should be grasped to achieve the best clinical effect.

关 键 词：手畸形 先天性 并指 术式 手术时机 

分 类 号：R726.582[医药卫生—儿科]