先天性并指畸形康复专家共识  

Expert consensus on the rehabilitation of congenital syndactyly

作　　者：俞沁圆 王斌[2] 沈小芳 陈山林[4] 田晓菲[5] 张红星 刘波[1] 方有生 谭为 孙文海 邵锋[9] 华栋[10] 许东升 廖维 俞芳[13] 祁奇 仲荣洲[15] 王陶黎[16] 陆佳妮 孟令军 张桐 黄国懂 张梦月 周阳[20] YU Qinyuan;WANG Bin;SHEN Xiaofang;CHEN Shanlin;TIAN Xiaofei;ZHANG Hongxing;LIU Bo;FANG Yousheng;TAN Wei;SUN Wenhai;SHAO Feng;HUA Dong;XU Dongsheng;LIAO Wei;YU Fang;QI Qi;ZHONG Rongzhou;WANG Taoli;LU Jiani;MENG Lingjun;ZHANG Tong;HUANG Guodong;ZHANG Mengyue;ZHOU Yang(Department of Rehabilitation Engineering,Yangzhi Rehabilitation Hospital Affiliated to Tongji University,Shanghai 201619,China;Department of Plastic and Reconstructive Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Hand Surgery,Children's Hospital of Soochow University,Suzhou 215002,China;Department of Hand Surgery,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Burns and Plastic Surgery,Children's Hospital of Chongqing Medical University,Chongqing 400014,China;Department of Hand Surgery,Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,China;Department of Hand Surgery,Huashan Hospital,Fudan University,Shanghai 200040,China;Department of Pediatric Orthopaedics,The Third Affillated Hospital of Southern Medical University,Guangzhou 510500,China;Department of Orthopaedics,The Third Affillated Hospital of Xinxiang Medical University,Xinxiang 453003,China;Department of Plastic Surgery,Anqing Municipal Hospital,Anqing 246003,China;Department of Rehabilitation Medicine,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 200437,China;Department of Orthopaedics,Affiliated Children's Hospital,Nanjing Medical University,Nanjing 210008,China;Department of Hand and Microsurgery,Xiangya Hospital of Central South University,Changsha 410008,China;Department of Rehabilitation,Yangzhi Rehabilitation Hospital Affiliated to Tongji University,Shanghai 201619,China;Department of Bone and Joint Rehabilitation,Yangzhi Rehabilitation Hospital Affiliated to Tongji University,Shanghai 201619,China;Department of Occupational and Injury Rehabilitation,Yangzhi Rehabilitation Hospital Affiliated to Tongji University,Shanghai 201619,China;Department of Orth

机构地区：[1]同济大学附属养志康复医院康复工程科,上海市201619 [2]上海交通大学医学院附属第九人民医院整复外科,上海市200011 [3]苏州市苏州大学附属儿童医院手外科,江苏省215002 [4]北京积水潭医院手外科,北京市100035 [5]重庆医科大学附属儿童医院烧伤整形科,重庆市400014 [6]西安市红会医院手外科,陕西省西安市710054 [7]复旦大学附属华山医院手外科,上海市200040 [8]南方医科大学第三附属医院儿童骨科,广东省广州市510500 [9]新乡医学院第三附属医院骨科,河南省新乡市453003 [10]安庆市立医院整形外科,安徽省安庆市246003 [11]上海中医药大学附属岳阳中西医结合医院康复中心,上海市200437 [12]南京医科大学附属儿童医院骨,江苏省南京市210008 [13]中南大学湘雅医院手显微外科,湖南省长沙市410008 [14]同济大学附属养志康复医院康复治疗部,上海市201619 [15]同济大学附属养志康复医院骨与关节康复科,上海市201619 [16]同济大学附属养志康复医院工伤职业康复科,上海市201619 [17]亳州创伤骨科医院骨科,安徽省亳州市236816 [18]上海师范大学天华学院健康学院,上海市201815 [19]新乡医学院三全学院智能医学工程学院,河南省新乡市453514 [20]义乌市中心医院手外科,浙江省义乌市322000

出　　处：《组织工程与重建外科》2022年第3期193-208,共16页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：中国残疾人联合会残疾人辅具专项(2021CDPFAT-40);上海残疾人联合会上海市残疾人康复科研项目(K2018028);上海市松江区科学技术委员会松江区科学技术攻关项目(18SJKJGG47)。

摘　　要：并指畸形是指相邻指间软组织和(或)骨骼不同程度的融合,是最常见的手部先天性畸形之一,手术分离是其最重要的治疗手段。通过引入精准康复理念,对并指畸形术后康复方案进行全面优化,可以进一步提高患者康复疗效。本共识以循证医学证据为依据,经过全国专家组反复讨论,同时借鉴和参考国内外近年来的研究成果,供全国手外科医师、康复医师、康复治疗师、康复工程师、护理人员等在临床工作中参考使用。本共识主要内容包括先天性并指畸形术后康复的目标、关注的问题、治疗的主要内容、团队的组成与职责、治疗手段与措施以及推荐康复方案等。Syndactyly is the fusion of soft tissues and/or bones between adjacent fingers to varying degrees,and is one of the most common congenital malformations of the hand,for which surgical separation is the most important treatment.By introducing the concept of precision rehabilitation and comprehensive optimization of the postoperative rehabilitation program for syndactyly,the rehabilitation outcome of patients can be further improved.The consensus is based on evidence-based medical evidence and has been repeatedly discussed by a national expert group,while drawing on and referring to recent research results at home and abroad,and is intended for reference use by hand surgeons,rehabilitation physicians,rehabilitation therapists,rehabilitation engineers,and nursing staff in their clinical work nationwide.The main contents of the consensus include the objectives of postoperative rehabilitation of congenital syndactyly,the issues of concern,the main contents of treatment,the composition and responsibilities of the team,the treatment means and measures,and the recommended rehabilitation program.

关 键 词：先天畸形 并指畸形 精准康复 专家共识 

分 类 号：R682.15[医药卫生—骨科学] R496[医药卫生—外科学] R493[医药卫生—临床医学]