CAJ | 학술논문

目的通过分析先天性束带综合征患儿的临床治疗及效果,进一步明确该疾病的治疗方法.方法回顾性分析1998年4月至2008年7月,我科收治的先天性束带综合征并获得随访的12例患儿,其中男6例,女6例,患儿平均年龄1岁4个月.其中5例为仅发生在小腿的束带综合征,其余7例为两个部位以上的束带综合征.全部患儿均通过两次手术对环状束带进行松解,手术方式为"Z"字松解,并对比所有患儿的术前及术后的体位相.结果在所有治疗病例中,无一例发生远端肢体的缺血坏死,所有患儿术后环状束带均得以彻底松解,且肢体外观恢复正常,肢体的发育也没有受到损害.结论先天性束带综合征是儿童常见的先天畸形,如不予治疗将对远端的肢体外观和发育产生不利影响,早期手术干预能有效的消除畸形,并让受累肢体正常发育.
목적 통과분석선천성속대종합정환인적림상치료급효과,진일보명학해질병적치료방법.방법 회고성분석1998년4월지2008년7월,아과수치적선천성속대종합정병획득수방적12례환인,기중남6례,녀6례,환인평균년령1세4개월.기중5례위부발생재소퇴적속대종합정,기여7례위량개부위이상적속대종합정.전부환인균통과량차수술대배상속대진행송해,수술방식위"Z"자송해,병대비소유환인적술전급술후적체위상.결과 재소유치료병례중,무일례발생원단지체적결혈배사,소유환인술후배상속대균득이철저송해,차지체외관회복정상,지체적발육야몰유수도손해.결론 선천성속대종합정시인동상견적선천기형,여불여치료장대원단적지체외관화발육산생불리영향,조기수술간예능유효적소제기형,병양수루지체정상발육.
Objective We reviewed the treatment and results the congenital constriction bands. Methods We carried out a retrospective study of 12 patients who were admitted between April 1998 to July 2008 into our institution with congenital constriction band. There were 6 boys and,6 girls. The average age was 1 year 4 months. All of the patients underwent two stages release with "Z" release. Results All the constriction bands have been released completely. All affected limbs resumed normal appearance. There was no further injury and necrosis. Conclusions Early surgical treatment by two stage release can eliminate the abnormal appearance effectively, and allow the affected limbs to grow normally.