先天性巨指畸形的临床治疗

Treatment of congenital macrodactyly

目的探讨先天性巨指畸形的临床治疗方法及疗效。方法198—2006年,我院共收治29例(44指)先天性巨指畸形,均予以手术治疗。手术年龄平均为10.4岁。结果术后随访1～11年,平均5年1个月。3例巨指术后仍显臃肿,功能不理想,其余26例术后功能和外观均较理想。结论先天性巨指畸形只有通过手术治疗才有效,但应根据患者年龄、畸形程度,选择适宜的手术方式和手术时机。

Objective To discuss the treatment options for macrodactyly and evaluate the clinical outcomes. Methods Surgical treatment was performed in 29 cases 44 fingers of macrodactyly from 1980 to 2006. The average age at operation was 10.4 years. The procedures included bony correction, neurolysis, or amputation of macrodactyly. Results Postoperative follow-up period ranged from 1 to 11 years （an average of 5 years and 1 month）. The postoperative function and appearance were satisfactory in 26 cases. Three cases had slightly bulky finger with poor function. Conclusion Surgery is the only effective treatment for congenital macrodactyly. Surgery decision making should be based on patient＇s age and severity of the deformity.