手部先天畸形的治疗原则应兼顾手部的外观和功能

More attension should be paid to the appearance and function in diagnosis and management of congenital hand anomalies

手部先天畸形在新生儿中的发病率约为2‰。近年来,手部先天畸形的就诊率有逐年增高的趋势,因此,该类疾病的诊治越来越受到手外科、小儿骨科以及整形外科医生的重视[1]。然而,由于手部先天畸形的致病机制复杂、表现多样、治疗方案众多,造成了目前在临床上对于该类疾病的认知良莠不齐和治疗方案不规范等突出的问题。尽管全面掌握手部先天畸形的诊断和治疗非常困难,但对于常见的手部先天畸形而言,

The incidence of congenital hand anomalies is about 2‰ in neonates. In recent years, patients with congenital hand anomalies have increased gradually in clinic, so hand surgeons, pediatric orthopedic surgeons and plastic surgeons should attach importance to the diagnosis and treatment of these diseases. The classification scheme dictates the treatment algorithm. Accurate classification is necessary for appropriate treatment. Polydactyly, syndactyly, thumb hypoplasia, and cleft hand are particularly commonplace and are discussed in this article. The surgeons should balance the function, cosmetic, and culture goals. The principles of diagnosis, treatment and surgical techniques are emphasized to maximize hand function and aesthetic outcomes.