特殊检查在复拇指畸形诊断中的价值  

Diagnostic value of special examination of thumb syndactyly

作　　者：于亚东[1] 洪光祥[2] 邵新中[1] 张克亮[1] 龚志欣[1] 

机构地区：[1]河北医科大学附属第三医院手外科,石家庄050051 [2]华中理工大学附属协和医院手外科

出　　处：《中华手外科杂志》2003年第1期18-20,共3页Chinese Journal of Hand Surgery

摘　　要：目的　探讨复拇指畸形特殊检查的诊断评价。方法　为 14例复拇指畸形术前摄X线平片、血管造影及超声检查 ,以对复拇指畸形的骨畸形、动力畸形及血液循环情况进行综合性分析 ;并结合术中的病变对照比较。治疗则采取截骨、重建肌腱附着点及保留主干血管等方法矫正畸形。结果　术中发现骨畸形 13例 ,主干拇指肌腱附着点异常或缺如者 14例 ,血循环由主干血管供应者 11例。结论　血管造影及超声检查是综合评价特殊复拇指畸形的重要方法 。Objective To investigate the value of special examination in the diagnosis of thumb syndactyly. Methods Fourteen cases of thumb deformities were detected preoperatively by X ray plain film, angiography and ultrasound examination. The deformities of bone,hemokinesis of thumbs and its blood supply were analysed.The results were compared with their pathological changes during the operation. The deformity was corrected by operations of bone resection,reconstruction of tendon insertion site and preservation of main arteries. Results There were bone deformities 13 cases,abnormal or absent tendon insertion of the main thumb 14 cases.The nutrient of the deformity thumb was supplied by main trunk artery in 11 cases. Conclusion Angiography and ultrasonic examination play an important role in the diagnosis of thumb syndactyly. It can help determine appropriate surgcical procedure so that secondary deformities can be prevented after operation.

关 键 词：复拇指畸形 血管造影术 超声检查 X线 

分 类 号：R658.2[医药卫生—外科学]