先天性束带综合征指端并指的新生儿期手术治疗  

Surgical treatment of the congenital distal syndactyly in constriction band syndrome during neonatal period

作　　者：张航 赵长应 鲜航 张凡亮 梁超 陈永祥 丛锐 Zhang Hang;Zhao Changving;Xian Hang;Zhang Fanliang;Liang Chao;Chen Yongxiang;Cong Rui(DepartmerU qf Orthopedics, Xijing Hospital, the Air Fotve Medical University, Xi 'an 710032, China)

机构地区：[1]空军军医大学附属西京医院骨科,西安710032

出　　处：《中华手外科杂志》2019年第3期173-175,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨先天性束带综合征指端并指的新生儿期手术治疗。方法自2014年1月至2018年4月,我们对6例先天性束带综合征指端并指的新生儿期患儿,采用早期局麻下手指末节分指,切口全层缝合或直接予无菌敷料包扎的方法治疗。结果6例患儿均随访6~13个月,平均8.6个月。切口均在术后2周内愈合,无感染、末节皮肤坏死等并发症发生。患侧手指外形及抓握功能均较术前明显改善。采用Moses评估标准评定:优6例。结论先天性束带综合征指端并指患儿,在新生儿期尽早行分指手术,可获得满意效果。Objective To investigate the surgical treatment of the congenital distal syndactyly in constriction band syndrome during neonatal period. Methods From January 2014 to April 2018, 6 cases of congential constriction band syndrome with distal syndactyly in neonatal period were treated by early finger segment division under local anesthesia. The fiill-thickness suture of incision or direct application of sterile dressing was performed. Results All the patients were follow-up for 6 to 13 months with an average of 8.6 months. All the incisions achieved healing within 2 weeks after operation, and there were no complications such as infection and necrosis of the distal finger skin. The appearance and grip function of the affected fingers were significantly improved compared with those before operation. Moses evaluation criteria were used to evaluate 6 cases with excellent results. Conclusion The children with congenital distal syndactyly in constriction band syndrome can be operated on as early as possible in neonatal period, and satisfactory results can be obtained.

关 键 词：手畸形 先天性 外科手术 新生儿期 束带综合征指端并指 局麻 

分 类 号：R726.8[医药卫生—儿科]