Treatment of infant hand congenital syndactyly

TIAN Xiaofei; et al

doi:10.13406/j.cnki.cyxb.2007.12.017

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Treatment of infant hand congenital syndactyly

更新时间：2024-01-17

- Treatment of infant hand congenital syndactyly
- Journal of Chongqing Medical University Issue 12, Pages: 1332-1333(2007)
- 作者机构：
  
  1. 重庆医科大学附属儿童医院烧伤整形科
  2. 重庆医科大学附属儿童医院烧伤整形科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2007.12.017
  CLC： R726.8
- Published：2007，
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[1]田晓菲,傅跃先,邱林,刘燕,甘立强.低龄儿童先天性并指畸形的整复治疗[J].重庆医科大学学报,2007(12):1332-1333.

TIAN Xiaofei, et al. Treatment of infant hand congenital syndactyly. [J]. Journal of Chongqing Medical University (12):1332-1333(2007)
[1]田晓菲,傅跃先,邱林,刘燕,甘立强.低龄儿童先天性并指畸形的整复治疗[J].重庆医科大学学报,2007(12):1332-1333. DOI： 10.13406/j.cnki.cyxb.2007.12.017.

TIAN Xiaofei, et al. Treatment of infant hand congenital syndactyly. [J]. Journal of Chongqing Medical University (12):1332-1333(2007) DOI： 10.13406/j.cnki.cyxb.2007.12.017.

摘要

目的:探讨低龄儿童先天性并指畸形的治疗时机及手术方法。方法:选择3岁以下的患儿38例

采用锯齿状皮瓣转移分离并指

指背、掌侧矩形或三角形皮瓣成形指蹼

皮肤缺损区全厚植皮的术式

术后小夹板加强固定术指。结果:本组38例除10例出现皮肤部分表皮坏死

经换药愈合外

其余创面一期愈合;9例出现瘢痕孪缩:7例经术指小夹板固定及结合局部注射糖皮质激素治疗后缓解

1例因术指屈曲明显而再次行瘢痕松解术

1例指侧瘢痕挛缩

轻度侧向弯曲

未行处理。随访6月～2年

除未处理的1例外

37例外形、功能良好

指蹼深度、宽度接近正常。结论:低龄儿童先天性并指畸形的整复在临床上是可行的。

Abstract

Objective:To study the technique of treatment of infant hand congenital syndactyly. Methods:All cases were from 6 months to 2 years old .In these cases

the fingers were separated by using the serrated flap and new weh were created deeply and widely by using rectangle or triangle inter-phalangeal flap at dorsal and palmaris. The skin-defected areas were covered with full-thickness skin grafts and the fingers were fixed using small splints. Results: All 38 cases were primary healing except that partial necrosis of skin graft in 10 cases which were healed after dressing change. The scar of 7 Cases were relieved by using small splints at night and glucocorticoid injection treatment. 1 case which finger was bent because of scar was operated again and another one had not any management. Followed up 6 months～2 years

37 cases had good features and functions except one case without dealed. Conclusion:It is feasible that treatment of hand congenital syndactyly durying infancy.

关键词

先天性并指治疗

Keywords

Congenital syndactylytreatment

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Related Author

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Related Institution

Department of Traditional Chinese Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

Department of Pediatrics，The Affiliated Hospital of Nanjing University of Chinese Medicine，The First Clinical Medical College of Nanjing University of Chinese Medicine

Department of Respiratory Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

Department of Urology，The Second Affiliated Hospital of Chongqing Medical University, The Second Affiliated Hospital of Chongqing Medical University

Department of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University

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