摘要
目的探讨显微外科技术在治疗小儿先天性并指畸形中的应用价值。方法选择小儿先天性并指畸形患儿16例为研究组,采用显微外科技术治疗。另选择小儿先天性并指畸形患儿16例为对照组,采用传统外科技术治疗。比较两组患儿术后手功能和形态恢复情况,术后并发症发生情况,医生和患儿家长对手术的满意度等。结果 1研究组所有患儿患指恢复良好,对照组患儿有8个手指并指畸形矫正效果不佳,与健康手指在外观和功能上有较大的差距,两组患儿患指外观及功能总体恢复情况比较差异有明显的统计学意义(P<0.05)。2研究组1例有局部疼痛情况,1例出现轻度静脉危象;对照组发生挛缩屈曲畸形3例,关节僵硬5例,局部疼痛6例,静脉危象5例。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。3研究组医生、患儿家长对治疗情况的满意度均显著高于对照组(93.75%比68.75%,87.50%比62.50%),差异有明显的统计学意义(P<0.05)。结论显微外科技术在治疗小儿先天性并指畸形能进一步改善外观和功能,与传统外科手术比较具有更高的应用价值。
Objective To explore the microsurgical technique of application value in the treatment of children with congenital syndactyly and deformity. Methods Pediatric deformity children with congenital syndactyly were included into this study, and sixteen cases were considered as control group （ microsurgical technique treatment）. The recovery of hand function and form were compared between two groups of children. Resuits ①AI1 children of the team restore good. The rate of restoring is superior to control group. The differences between groups have significant statistical significance（ P 〈0.05）. ②1 case had local pain, 1 case had mild venous crisis in the study group. The contracture flexion deformity were found in 3 cases of control group, stiff joints in 5 cases, 6 cases of local pain, venous crisis in 5 cases. The comparative education has obvious statistical significance between groups （ P 〈 0.05 ）. ③The treatment satisfaction rate of the team doctor for was 93.75 %. The treatment satis- faction rate of the parents was 87, 50% in the study group. While in the control group, the treatment of satisfaction of doctor was 68.75%, parents satisfaction was 62.50%. The result of the treatment satisfaction have significant statistical significance comparing differences between groups（ P 〈 0.05 ）. Conclusion Micresurgical technique in the treatment of children with congenital syndactyly and deformity can further improve the appearance and function, has higher application value compared with traditional surgery.
出处
《临床和实验医学杂志》
2015年第14期1205-1207,共3页
Journal of Clinical and Experimental Medicine
关键词
小儿
先天性并指畸形
显微外科技术
Children
Congenital syndactyly
Microsurgical technique
