无创支具矫正对先天性拇指畸形患儿术后拇指功能的影响  

Influence of Non-invasive Brace Correction on Postoperative Thumb Function of Children with Congenital Thumb Deformity

作　　者：于清清 张翠英 冀少林 YU Qingqing;ZHANG Cuiying;JI Shaolin(Department of Orthopedics,Shandong Provincial Third Hospital,Jinan 250000,Shandong,China;Department of Trauma and Hand-Foot Surgery,Shandong Provincial Third Hospital,Jinan 250000,Shandong,China)

机构地区：[1]山东省立第三医院骨科,山东济南250000 [2]山东省立第三医院创伤与手足外科,山东济南250000

出　　处：《中国美容医学》2023年第11期38-41,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究无创支具矫正对先天性拇指畸形患儿术后拇指功能的影响。方法:回顾性分析2020年1月-2022年7月笔者医院收治的77例先天性拇指畸形患儿临床资料,患儿均进行手术矫正治疗,根据患儿是否使用无创支具矫正进行分组,将进行无创支具矫正的患儿纳入观察组(n=39),未进行无创支具矫正的患儿纳入对照组(n=38)。比较两组患儿术后矫正效果、手功能[Jebsen手功能测试、Carroll手功能评定量表(Carroll uupper extremities functionaltest,UEFT)]、拇指角度(拇指桡侧被动外展角度、拇指掌侧外展角度、拇指背伸直角度)及并发症发生情况。结果:术后15、30、60 d,观察组患儿矫正效果评分均高于对照组(P<0.05);术后60 d,观察组患儿Jebsen手功能测试时间短于对照组,UEFT评分高于对照组,拇指桡侧被动外展角度、拇指掌侧外展角度、拇指背伸直角度均优于对照组,差异均有统计学意义(P<0.05);术后,两组患儿并发症发生情况比较差异无统计学意义(P>0.05)。结论:无创支具矫正用于辅助矫正先天性拇指畸形效果显著,在术后早期能促进患儿手功能、拇指角度提升,且不会增加术后并发症,临床可根据患儿病情使用无创支具矫正。Objective To investigate the influence of non-invasive brace correction on postoperative thumb function of children with congenital thumb deformity.Methods The clinical data of 77 children with congenital thumb deformity who were treated in the author's hospital from January 2020 to July 2022 were retrospectively analyzed,and all the children were treated with surgery.According to whether the children adopted non-invasive brace for correction,the children with non-invasive brace correction were included in observation group(n=39),and the children without non-invasive brace correction were enrolled as control group(n=38).The postoperative correction effect and hand function[Jebsen hand function test,Carroll uupper extremities functional test(UEFT)],thumb angles(radial passive abduction Angle of the thumb,volar abduction Angle of the thumb,dorsal extension Angle of the thumb),and complicationswere compared between the two groups test.Results At 15,30,and 60 days after operation,the correction effect scores of the observation group were higher than those of the control group(P<0.05).Sixty days after the operation,the Jebsen hand function test time of the observation group was shorter than that of the control group,the UEFT score was higher than that of the control group,the Angle of passive abduction of the radial side of the thumb,the Angle of volar abduction of the thumb,and the Angle of dorsal extension of the thumb were better than those of the control group,and the differences were statistically significant(P<0.05).After operation,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Non-invasive brace correction is effective in assisting the correction of congenital thumb deformity.It can promote the hand function and thumb Angle of children in the early stage after operation,and will not increase postoperative complications.

关 键 词：先天性拇指畸形 无创支具 矫正 手术 拇指功能 

分 类 号：R816.8[医药卫生—放射医学]