先天性并指手术治疗的常见并发症及其防治

目的 通过对先天性并指手术治疗常见并发症产生原因的分析，找出防治方法。方法 统计34例先天性并指手术治疗后出现的并发症，按产生原因进行分类。结果 非专科医生手术9例；手术时机不当8例；指蹼成形术方式不当7例；甲廓成形不良4例；术后固定及锻炼不当6例。结论 术前正确掌握手术时机，选择适宜的指蹼、指端成形术；术中注意血管、神经变异；术后固定牢靠，锻炼得当，先天性并指手术后并发症会大大减少。

The common complications after the operation of congenital syndactyly and their prophylaxis and treatment

Objective To analyze the reasons of the common complications happened after the operation of congenital syndactyly and to find the method of prophylaxis and treatment,and to improve the effects of treatment.Methods To classify the reasons of the complications happened after the operation of congenital syndactyly in 34 cases.Results The reasons of the complications included that the patients were not operated by special course of study doctors in 9; operation at an inappropriate opportunity in 8;the method of web taken shape was improper in 7;the method of nail taken shape was improper in 4; the fixation and training was unsuitable in 6. Conclusions The complications happened after the operation of congenital syndactyly will be reduced much , provided that grasping the right opportunity and selecting the proper method of web or finger tip taken shape before operation , taking care of the transformations of blood vessel and nerve in operation , fixing firmly and training appropriately after operation.