先天性并指畸形诊疗的专家共识

Expert Consensus Statement on Congenital Syndactyly

并指畸形(Syndactyly)是最常见的手部先天性畸形之一。表现为相邻指/趾间软组织和(或)骨骼不同程度的融合,可伴发多指、屈指、短指、先天性指间关节融合等。表现变异性及不完全外显率,使并指畸形的诊疗缺乏清晰的路径。多年来对该疾病的处理以经验为依据,缺乏对基因学研究的了解和治疗策略的参考。为进一步规范并指畸形的诊疗,更新治疗策略,中华医学会手外科学分会手部先天畸形学组、中国医师协会美容与整形医师分会手整形专委会、中国康复医学会修复重建外科学分会四肢畸形学组,汇集全国10家著名医学院校及附属医院专家进行专题研讨,同时借鉴和参考国内外近年来的研究成果,制定"先天性并指畸形诊疗的专家共识",供临床医师参考。

Syndactyly is one of the most common congenital hand differences,characterized with certain degrees of fusion of adjacent digits in soft tissues or bones.It can be associated with polydactyly,camptodactyly,brachydactyly or symphalangism.Diversity of manifestations and incomplete penetration of heritage make the diagnosis and treatment lack of a clear routine.The management of syndactyly was based on the individual experience over the past years with shortage of the knowledge in genetics and surgical strategy.Therefore,to standardize the treatment and update the surgical procedure in syndactyly,to decrease the huge waste of medical resources,the Hand Surgery Branch of Chinese Medical Association,Chinese Medical Doctor Association and Chinese Association of Rehabilitation Medicine convened an expert panel specialized in syndactyly with10famous domestic medical colleges and affiliated hospitals,to discuss and formulate about the spectrum of diagnosis and treatment.The consensus statement on diagnosis and clinical management of syndactyly was established for clinical references.