37例重度虎口挛缩的外科治疗经验

Surgical therapeutic experience of 37 patients with severe contracture of the first web space

目的：总结研究37例重度虎口挛缩的外科手术经验。方法：对符合标准的37例重度虎口挛缩合并拇指对掌功能障碍患者在进行虎口周围瘢痕组织和粘连带切除术后,于环指指浅屈肌腱实施转位重建拇外展功能,观察手术疗效。结果：术后对患者进行随访,随访期为6~12个月,术后37例患者虎口角度平均可以增大60°,虎口的宽度平均可以增长40 mm,手术能较好的恢复拇指外展对掌功能。结论：研究表明,外科手术治疗重度虎口挛缩,可在解除虎口挛缩的同时实施拇外展功能重建,手术能使虎口开大以及对掌功能恢复,值得临床推广。

Objective： To investigate the surgical therapeutic experience of 37 patients with severe contracture of the first web space.Methods： 37 cases met a standard of severe contracture of the first web space with thumb opponens dysfunction were given operation to remove cicatricial tissue and adhesion band around the first web space,flexor digit superficialis tendom of ring finger transfer was done.Thumb was fixed in opponens position with arch pin.The surgery effect was observed.Results： All patients were followed for 6-12 months.The width of the first web space was augmented at an average of 40 mm,the angel of the first web space was augmented at an average of 60°.The opponens function of thumb was improved.Conclusion： Surgery in the treatment of severe contractures of the first web space is a simple and reliable method to improve the opponens function of thumb,it is worthy to use in clinic.