CAJ | 학술논문

目的：分析研究对小儿先天性多指畸形患者给予离断再植的方法和效果，总结临床治疗先天性多指畸形的有效方案。方法选取2010年8月~2013年4月我院收治的小儿先天性多指畸形患者102例为研究对象，根据Wassel法进行分类，其中I型29例，II型21例，III型32例，IV型14例，其他6例。所有患者均经过临床检查证实，并采用手术治疗的方法。结果102例患者经过我院的临床治疗，多余患者多指均切除，正常手指位置满意。随访患者半年，所有患者外形和发育均良好，可以进行正常运动和生活。治疗期间有11例患者皮肤坏死，经过临床处理后痊愈。患者对治疗的满意度为95.10%（97/102）。患者对外形和功能满意度比较差异不明显，差异无统计学意义(P＞0.05)。结论小儿先天性多指畸形使用外科手术治疗的效果较好，需要医生根据患者的实际情况选择合适的治疗方案。
목적：분석연구대소인선천성다지기형환자급여리단재식적방법화효과，총결림상치료선천성다지기형적유효방안。방법선취2010년8월~2013년4월아원수치적소인선천성다지기형환자102례위연구대상，근거Wassel법진행분류，기중I형29례，II형21례，III형32례，IV형14례，기타6례。소유환자균경과림상검사증실，병채용수술치료적방법。결과102례환자경과아원적림상치료，다여환자다지균절제，정상수지위치만의。수방환자반년，소유환자외형화발육균량호，가이진행정상운동화생활。치료기간유11례환자피부배사，경과림상처리후전유。환자대치료적만의도위95.10%（97/102）。환자대외형화공능만의도비교차이불명현，차이무통계학의의(P＞0.05)。결론소인선천성다지기형사용외과수술치료적효과교호，수요의생근거환자적실제정황선택합괄적치료방안。
Objective To analysis and study on pediatric patients with congenital refers to deformity give of the methods and ef ects of replantation, summarizes the clinical treatment of congenital refers to the deformity of more ef ective solutions. Methods from August 2010 to April 2010 pediatric patients with congenital refers to the deformity of our hospital 102 cases as the research object, according to classified Wassel law, of which type I 29 cases, II type 21 cases, 32 cases of type III, IV 14 cases, and other 6 cases. Al patients were confirmed by clinical examination, and adopt the method of surgical treatment. Results 102 cases of patients after our clinical treatment, the excess refers to both resection, patients with normal finger position. Fol ow-up of patients with half a year, al of the patients and have good appearance, can be normal movement and life. During the treatment of skin necrosis in 11 patients, after dealing with the clinical healing. Satisfaction was 95.10%(97/102) of patients to treatment. No obvious dif erence compared to shape and function in patients with satisfaction, p>0.05, there was no statistical y significant dif erence. Conclusion children with congenital more refers to the deformity using surgical treatment ef ect is good, need a doctor, according to the actual situation of patients to choose the appropriate treatment.