摘要
目的探讨先天性束带综合征的临床特点、治疗方法及预后情况。方法选择先天性束带综合征患者15例,平均年龄3个月,共41处缩窄带,其中Ⅰ度缩窄带22处,Ⅱ度缩窄带12处,Ⅲ度缩窄带7处,均采用"W"成形术一期或分期进行松解,同时行并指(趾)分离及融合指(趾)分离。结果切口均Ⅰ期甲级愈合,无感染及坏死,远端肿胀情况明显减轻或消失,外观及功能得到明显改善。本组病例平均随访30个月(4~64个月),无复发病例。结论 "W"成形术能有效矫正先天性束带综合征患者肢体畸形,改善外观及功能,促进患肢的发育及康复。
Objective To investigate the clinical characteristics,treatment and prognosis of congenital band syndrome （ CCBS） . Method 15 cases of congenital band banding syndrome were treated in our department,including 8 males and 7 females,aged from 3 days to 1 year,with an average age of 3 months. There were 41 constriction narrow bands, of which 22 were grade I,12 were gradeⅡ,and 7 were gradeⅢ. All of them were treated by W-plasties. They were treated with one-stage or two-stage. At the same time,syndactyly and fused fingers were separated. Result All the in-cisions healed primarily,without infection or necrosis. The distal swelling was alleviated or disappeared,and the ap-pearance and function were improved obviously. The patients were followed up for an average of 30 months（4~64 months）without recurrence. Conclusion W-plasties can effectively correct the limb deformity,improve the appear-ance and function of CCBS patients,and promote the development and rehabilitation of affected limbs.
出处
《中国临床医生杂志》
2017年第8期22-24,共3页
Chinese Journal For Clinicians
基金
国家科技部国家重点研发项目(2016YFC100800)
关键词
先天性束带畸形
缩窄带
“W”成形术
Congenital banding deformity
Constriction of the narrow band
W-plasty
