CAJ | 학술논문

目的对上肢先天性绞扼轮综合征进行临床分型,探讨一期完全切除环形绞扼轮术式的可行性,总结先天性绞扼轮综合征合并短小指、并指畸形的治疗经验.方法先天性绞扼轮综合征的部位进行分区,对绞窄的程度进行临床分度.一次完全切除环形绞扼轮,并同时依据临床分型对软组织进行松解、修复.结果本组11例15侧上肢绞扼轮均予以一期完全切除,术后肢体均未出现血运障碍.随访7个月至3.5年,平均2.1年.功能评价:优9侧占60.0%,良5侧占33.3%,差1侧占6.7%.结论一期完全切除绞扼轮,对肢体远端的血运不会产生影响,在切除绞扼轮的同时,应根据绞扼轮的临床分型对深部组织予以修复.
목적 대상지선천성교액륜종합정진행림상분형,탐토일기완전절제배형교액륜술식적가행성,총결선천성교액륜종합정합병단소지、병지기형적치료경험.방법 선천성교액륜종합정적부위진행분구,대교착적정도진행림상분도.일차완전절제배형교액륜,병동시의거림상분형대연조직진행송해、수복.결과 본조11례15측상지교액륜균여이일기완전절제,술후지체균미출현혈운장애.수방7개월지3.5년,평균2.1년.공능평개:우9측점60.0%,량5측점33.3%,차1측점6.7%.결론 일기완전절제교액륜,대지체원단적혈운불회산생영향,재절제교액륜적동시,응근거교액륜적림상분형대심부조직여이수복.
Objective To put forward clinical classification of congenital constriction band syndreme and investigate the feasibility of one-stage release of the constriction band. Methods Eleven patients with 15 upper limh congenital constriction bands were reviewed. The location and severity of the bands were classified. The constriction bands were released in one-stage. Based on the clinical classification soft tissue release or reconstruction were done accordingly. Results The average follow-up was 2. 1 years ranging firm 7 months to 3.5 years. Based on pain, residual deformity and limitation of activities, the results of the most recent follow-up were graded as good in 60.0% of the patients, fair in 33.3% and poor in 6.7%. Conclusion The study indicated that congenital constrict band can be released in one stage without increasing the risk of circulatory compromise. Simultaneous soft-tissue reconstruction should be done according to the clinical classification.