摘要
目的评价小儿扳机拇的手术治疗效果，确定切开或切除A1滑车哪一种手术效果更好。方法自2008年5月至2015年5月，对147例扳机拇患儿（平均年龄32．3个月），根据A1滑车的处理方式分为切开组和切除组，进行短期的术后随访和长期的电话问卷调查，比较两组的手术时间、复发率、术后并发症和术后拇指的活动范围。结果切除组和切开组的平均手术时间分别为10．1和10．4min（P=0．15），差异没有统计学意义。总复发率2．5％（切开组1．3％，切除组3．7％，P=0．17），97．5％的拇指获得优或良的活动范围（切开组98．7％，切除组96.3％，P=0．17），两组均无长期的手术并发症。结论手术切开或切除A1滑车是治疗小儿扳机拇安全有效的方法。
Objective To evaluate and compare the treatment outcomes of A1 pulley incision and A1 pulley excision in pediatric trigger thumb. Methods A prospective study was conducted from May 2008 to May 2015 in 147 patients （mean age of 32.3 months） who underwent open surgical treatment for trigger thumb. They were divided into two groups, one with A1 pulley incision （I group） and one with A1 pulley excision （E group）. All patients underwent short-term postoperative observation and long-term questionnaires after the surgery to compare the operating time, recurrent rate, postoperative complications and postoperative range of motion of thumbs in two groups. Results The average operating time was 10.1 minutes and 10.4 minutes in the E group and I group, respectively （P=0.15）. The total recurrent rate was 2.5% （E group： 3.7% and I group： 1.3%; P=0.17）. 97.5% thumbs had a perfect or good postoperative range of motion （E group： 96.3% and I group： 98.7%; P=0.17）. There were no long-term surgical complications in either group. Conclusion Open surgical incision and excision of the A1 pulley were safe and effective techniques for pediatric trigger thumb treatment.
出处
《中华手外科杂志》
CSCD
北大核心
2017年第2期125-127,共3页
Chinese Journal of Hand Surgery
关键词
儿童
外科手术
扳机拇
Child
Surgical procedures,operative
Trigger thumb
