15例Poland综合征并指畸形修复  

Treatment of 15 Cases of Poland Syndrome with Syndactyly

作　　者：商浩[1] 张放[1] 罗鹏远 任强 甄磊[1] SHANG Hao;ZHANG Fang;LUO Peng-yuan;REN Qiang;ZHEN Lei(Department of Traumatology,Hebei Province Children’s Hospital,Shijiazhuang 050031,Hebei,China)

机构地区：[1]河北省儿童医院创伤外科,河北石家庄050031

出　　处：《中国美容医学》2021年第7期1-4,共4页Chinese Journal of Aesthetic Medicine

基　　金：河北省卫健委医学科学研究课题(编号:20200642)。

摘　　要：目的:探讨一种Poland综合征并指畸形修复的新方法和疗效。方法:2015年8月-2019年10月利用掌背六边形皮瓣一期重建指蹼治疗Poland综合征并指畸形15例患儿,19个并指,均不需要植皮。结果:19个并指均一期重建指蹼闭合创面,均未植皮,术后无血肿、感染及皮瓣坏死等并发症。随访3-48个月,平均18个月,其中1例出现指蹼爬移,未发现屈曲挛缩现象,所有手指均无明显瘢痕增生,屈曲及外展功能良好。结论:掌背六边形皮瓣重建指蹼,不需要植皮,操作简单,皮瓣成活率高,临床疗效满意。Objective To explore a new method and clinical effect for treatment Poland syndrome with syndactyly.Methods From August 2015 to October 2019,a dorsal hexagonal flap was used to reconstruct the finger web for 15 cases of Poland syndrome with syndactyly,and 19 webs without skin grafts.Results All 19 webs were reconstructed in same procedure and lateral sides of the fingers were all closed with flaps without skin grafts.There were no complications such as hematoma,infection or flap necrosis.The average follow-up time was 18 months(range,3 months to 48 months).One of the 19 webs developed web creep.No patients developed flexion contractures.All fingers had no obvious scar,and the flexion and abduction function were good.Conclusion The dorsal hexagonal flap does not require skin grafting.The operation is simple,and the survival rate of the flap is high.The clinical effect is satisfactory.

关 键 词：POLAND综合征 并指 外科皮瓣 六边形皮瓣 指蹼 畸形修复 

分 类 号：R622[医药卫生—整形外科]