先天性并指畸形治疗的回顾性分析 |
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引用本文: | 吴迪,路来金,宣昭鹏,崔建礼,孙希光,贾晓燕. 先天性并指畸形治疗的回顾性分析[J]. 实用手外科杂志, 2013, 27(2): 121-123,128 |
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作者姓名: | 吴迪 路来金 宣昭鹏 崔建礼 孙希光 贾晓燕 |
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作者单位: | 吴迪 (吉林大学白求恩第一医院手足外科,吉林长春,130031); 路来金 (吉林大学白求恩第一医院手足外科,吉林长春,130031); 宣昭鹏 (吉林大学白求恩第一医院手足外科,吉林长春,130031); 崔建礼 (吉林大学白求恩第一医院手足外科,吉林长春,130031); 孙希光 (吉林大学白求恩第一医院手足外科,吉林长春,130031); 贾晓燕 (吉林大学白求恩第一医院手足外科,吉林长春,130031); |
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摘 要: | 目的探讨先天性并指畸形的治疗体会,规范治疗方法,提高治愈率。方法对我院近两年收治的30例先天性并指畸形患者,采用游离植皮及皮瓣等6种手术方法进行分指。以掌背侧顺行推进皮瓣、掌背侧逆行岛状皮瓣、五角推进皮瓣、局部“V—Y—W”推进皮瓣及菱形皮瓣重建指蹼:以“Z”形和全厚皮片修复指体。结果本组24例总体治疗效果满意,其余6例行二次手术,其中植皮坏死3例,手指瘢痕屈曲挛缩2例,指蹼创面感染、继发瘢痕增生形成不全并指1例。结论并指的手术时机应选择在出生后6个月~2年,并指的手术设计应注重指蹼的重建,重建的方法应首选掌背侧顺行或逆行皮瓣转移术:指体修复应选择全厚皮片,以预防手指的屈曲挛缩。
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关 键 词: | 手 先天性并指畸形 回顾总结性研究 |
Retrospective study of treatment in malformation congenital syndactyly |
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Affiliation: | WU Di, LU Lan-jin, XUAN Zhao-peng, et al (Department of Hand and Foot Surgery, Bethune First Hospital of Jilin University, Changchun, Jilin, 130031, China) |
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Abstract: | Objective To discuss the treatment experience of congenital symphysodactylia, standardize treatment method, improve the efficiency of treatment. Methods Summarize 30 cases with malformation congenital syndactyly in nearly 2 years in my hospital, used free skin graft and flap to separate the fingers in 6 kinds of surgical methods.By using the dorsal metacarpal anterograde advancing flap,palm dorsal retrograde island flap, the pentagon pushed flap, local V-Y-W promoting skin flap and rhomboid flap for reconstruction the web; with Z shape and skin repair the body finger. Results This group of 24 patients overall treatment effect was satisfactory. There were 6 cases for needing secondary surgery, skin graft necrosis in 3 cases, scar finger flexion contracture in 2 cases, the webbed wound infection, secondary to scar hyperplasia formation in 1 case. Conclusion The operation time of congenital should be chosen after the 6 months to 2 years, the operation should pay attention to the reconstruction of the web-fingered, reconstruction of surgical methods should be preferred palm dorsal anterograde and retrograde flap transfer operation, The repair of fingers should choose the piece, in order to prevent finger flexion contracture. |
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Keywords: | Hand Malformation congenital syndactyly Review summary |
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