显微外科手术治疗小儿先天性并指畸形的临床效果观察  

Observation of the clinical effect of microsurgical treatment for congenital syndactyly in children

作　　者：葛金铭 史一 孔钰环 GE Jinming;SHI Yi;KONG Yuhuan(Hand Surgery&Microorthopedics,Zhengzhou Orthopedic Hospital,Henan Province,450000,China)

机构地区：[1]郑州市骨科医院手外科显微骨科,河南郑州450000

出　　处：《中国医疗美容》2024年第8期72-74,共3页China Medical Cosmetology

摘　　要：目的探讨分析小儿先天性并指畸形采用显微外科手术治疗的临床效果。方法选取2021年1月至2024年1月于郑州市骨科医院收治的先天性并指畸形患儿98例,均接受显微外科手术。结果患儿术后3个月关节活动度优良率为83.67%。术后患儿并发症发生率为6.12%。术后3个月患儿厚度评分为(1.02±0.17)分,色泽评分为(0.95±0.13)分,柔软度评分为(1.08±0.21)分,血管分布评分为(1.36±0.27)分;患儿指蹼爬移Withey评分为(0.42±0.13)分。术后3个月患儿生活质量评分较术前更高,差异有统计学意义(P<0.05)。患儿家长对手术治疗的满意度为91.84%。结论显微外科手术治疗小儿先天性并指畸形效果显著,能改善患儿关节活动度,且并发症少、美学效果好,利于提高患儿生活质量及患儿家长满意度。Objective To explore the clinical effect of microsurgical treatment of congenital syndactyly in children.Methods A total of 98 children with congenital syndactyly admitted to Zhengzhou Orthopedic Hospital from January 2021 to January 2024 were selected,all of whom underwent microsurgery.Results The excellent and good rate of joint mobility was 83.67%3 months after operation.The incidence of postoperative complications was 6.12%.At 3 months after operation,the thickness score was(1.02±0.17),the color score was(0.95±0.13),the softness score was(1.08±0.21),and the vascular distribution score was(1.36±0.27);The Withey score of finger web movement was(0.42±0.13).The quality of life score of children 3 months after operation was higher than that before operation,and the difference was statistically significant(P<0.05).The satisfaction of the parents of the children with surgical treatment was 91.84%.Conclusions Microsurgical treatment of congenital syndactyly in children has a significant effect,which can improve the range of motion of children's joints,and has fewer complications and good aesthetic effect,which is conducive to improving the quality of life of children and the satisfaction of parents.

关 键 词：显微外科手术 先天性并指畸形 并发症 关节活动度 美学效果 

分 类 号：R726.8[医药卫生—儿科]