CAJ | 학술논문

目的分析73例巨指(趾)畸形患者的临床特点.方法回顾性分析1965年至2006年收治的73例巨指(趾)畸形患者的资料,统计分析其发病情况、受累指(趾)的分布及特征、治疗方法、X线片及病理检查结果,对获得随访的28例患者的疗效进行分析.结果巨指中,示指受累最多,其次为拇、中指;巨趾中,第2趾受累最多.静止型巨指(趾)12例,均为出生后即有;进展型巨指(趾)61例,发病时间不一:出生即有39例,2岁以内17例,2岁以上5例.巨指(趾)偏斜共37例;并指3例;巨拇合并大鱼际饱满16例;多指粗大合并手掌及前臂增粗8例.结论巨指多发生在正中神经支配区,主要累及示、拇及中指,并伴有正中神经脂肪浸润;巨趾多发生在足底内侧神经支配区,以第2趾多见.进展型巨指(趾)多于静止型,且指(趾)粗大可出生即有,并可合并并指、指(趾)偏斜、大鱼际饱满、手掌及前臂增粗.
목적 분석73례거지(지)기형환자적림상특점.방법 회고성분석1965년지2006년수치적73례거지(지)기형환자적자료,통계분석기발병정황、수루지(지)적분포급특정、치료방법、X선편급병리검사결과,대획득수방적28례환자적료효진행분석.결과 거지중,시지수루최다,기차위무、중지;거지중,제2지수루최다.정지형거지(지)12례,균위출생후즉유;진전형거지(지)61례,발병시간불일:출생즉유39례,2세이내17례,2세이상5례.거지(지)편사공37례;병지3례;거무합병대어제포만16례;다지조대합병수장급전비증조8례.결론 거지다발생재정중신경지배구,주요루급시、무급중지,병반유정중신경지방침윤;거지다발생재족저내측신경지배구,이제2지다견.진전형거지(지)다우정지형,차지(지)조대가출생즉유,병가합병병지、지(지)편사、대어제포만、수장급전비증조.
Objective To analyze the clinical characteristics of 73 cases of macrodactyly.Methods Review the incidence,distribution,characteristic,X-rays,pathogensis and treatment of involved digits on the base of the clinical documents of 73 macrodactyly which were treated from 1965 to 2006.Twenty-eight cases had been followed-up.Resuits Unilateral involved 71 cases,bilateral involved 2 cases.In upper deformities,the most involved digit was the index finger,followed by thumb and middle finger enlargement.In lower deformities,the second toes were affected more.There were 12 cases of static macrodactyly,which were all presented at or soon after birth.Sixty-one cases were progressive macrodactyly:39 cases presented at birth;17 cases occured at about 2 years old:5 cases were found after age 2.Thirty-seven cases of progressive type presented digital deviation;3 cases associated with syndactyly;16 cases complicated with thenar eminence hypertrophy;8 cases of multiple-digit involved combined with palm and forearm hyperplasia.Conclusions Macrodactyly in hand has a preference for the median nerve territory,mainly involving index,thumb and middle finger.Pedal macrodactyly prefers medial plantar nerve territory,the second toe is the most commonly affected.The progressive macrodactyly is more common than static.It may present at birth and combine with syndactyly,digital deviation,thenar eminence hypertrophy,palm and forearm hyperplasia.