矫正大疱性表皮松解症手部瘢痕挛缩畸形的手术方法探讨  

Surgical methods for the correction of scar contracture deformity of the hand caused by epidermolysis bullosa

作　　者：孟宝玺[1] 简玉洛[1] 王璐[1] 刘怡伶[1] 马富廉[1] 焦心荷 MENG Bao-xi;JIAN Yu-luo;WANG Lu;LIU Yi-ling;MA Fu-lian;JIAO Xin-he(Department of Plastic Surgery,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院整形外科,河南郑州450014

出　　处：《中国美容整形外科杂志》2021年第7期400-403,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨两种矫正大疱性表皮松解症患者手部瘢痕挛缩畸形治疗方法的优劣。方法回顾性分析自2014—2019年,郑州大学第二附属医院整形外科收治的遗传性大疱性表皮松解症手部瘢痕挛缩畸形患者29例,分别采用纱布绷带固定法(10例,A组)和克氏针固定法(19例,B组)矫正瘢痕挛缩手指。术后随访6~24个月,统计手部再次出现瘢痕挛缩的时间,取平均复发时间,采用t检验比较的方法,运用SPSS 21.0统计软件分析两种方法的优劣。结果应用纱布绷带固定法的患者手部瘢痕挛缩再次复发的平均时间为(11.56±4.00)个月;应用克氏针固定法的患者手部瘢痕挛缩再次复发的平均时间为(16.47±2.95)个月。结果表明,应用纱布绷带固定法明显优于克氏针固定法。结论大疱性表皮松解症手部瘢痕挛缩矫正术,采用克氏针固定法维持时间长,且再次出现挛缩的时间晚,优于纱布绷带固定法。Objective To compare two surgical methods for the correction of scar contracture deformity of hand caused by epidermolysis bullosa(EB).Methods From 2014 to 2019,a total of 29 patients with scar contracture deformity of hand caused by hereditary EB were retrospectively analyzed.All patients were divided into two groups according to different corrective methods.In group A,patients received gauze bandage fixation(n=10).In group B,patients were treated by Kirschner wire fixation(n=19).All patients were followed up for 6 to 24 months.The recurrence time of scar contracture deformity of hand was recorded and the average recurrence time was counted.These two methods were compared by SPSS 21.0 software.Results The average recurrence time of group A were(11.56±4.00)months,which was short than group B of(16.47±2.95)months.The results showed that Kirschner wire fixation was better than gauze bandage fixation.Conclusion In the correction of scar contracture deformity of hand caused by hereditary EB,the Kirschner wire fixation was superior to the gauze bandage fixation in terms of maintenance time.

关 键 词：大疱表皮松解症 手部瘢痕挛缩 手术方法 纱布绷带固定 克氏针固定法 

分 类 号：R658.2[医药卫生—外科学]