软组织牵张成形术治疗手指屈曲挛缩畸形的疗效分析

Analysis of the effect of soft tissue stretch for the treatment of flexion contracture deformity of fingers

目的分析2种不同手术方法矫正手指屈曲挛缩畸形的临床疗效。方法回顾性选取30例48指创伤性手指屈曲挛缩畸形的病例,分别用传统的转移皮瓣或植皮修复术(对照组)与微型外固定支架牵张成形术(观察组)。记录手术时间、出血量、术后疼痛评分、住院时间、总治疗时间、总费用、手指功能评分、并发症发生率、复发率等指标,对比分析两者差异。结果利用微型外固定支架结合软组织牵张成形术治疗手指屈曲挛缩畸形,在手术时间、出血量、住院时间、术后并发症,术后手指功能评分等方面要优于传统方法(P<0.05),在总治疗时间、总费用、复发率上差异没有统计学意义。结论利用微型矫形外固定支架治疗手指屈曲挛缩畸形对比传统手术方法可以缩短手术时间,减少术中出血量,缩短住院时间、减少并发症,临床疗效满意。

Objective To analyze the clinical effect of different surgical methods for the treatment of flexion contracture deformity of fingers. Methods Retrospective clinical data of 30 patients of traumatic flexion contracture deformity of the fingers were analyzed. The patients were treated with conventional flap or skin grafting（control group,23 fingers）and miniature external fixation stenting（observation group,25 fingers）. The treating time in each of two procedures,bleeding loss,postoperative pain score,hospital stay,cost,finger function score,complication and recurrence were recorded and analyzed in two groups. Results The micro-external fixation combined with soft tissue distraction plasty revealed superiority to traditional approach in terms of operation time,postoperative pain score,hospitalization time,postoperative complications,postoperative finger function scores. There was no significant difference in total treatment time,total cost and recurrence. Conclusion For flexion contracture deformity of the fingers,the micro-orthopedic external fixation showed better clinical effects in our clinical record document.