[1]于清清,张翠英,冀少林.无创支具矫正对先天性拇指畸形患儿术后拇指功能的影响[J].中国美容医学,2023,(11):38-41.[doi:10.15909/j.cnki.cn61-1347/r.005966]
　YU Qingqing,ZHANG Cuiying,JI Shaolin.Infl uence of Non-invasive Brace Correction on Postoperative Thumb Function of Children with Congenital Thumb Deformity[J].Medical Aesthetics and Beauty,2023,(11):38-41.[doi:10.15909/j.cnki.cn61-1347/r.005966]
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无创支具矫正对先天性拇指畸形患儿术后拇指功能的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年11期
页码:
38-41
栏目:
出版日期:
2023-11-10

文章信息/Info

Title:
Infl uence of Non-invasive Brace Correction on Postoperative Thumb Function of Children with Congenital Thumb Deformity
文章编号:
1008-6455(2023)11-0038-04
作者:
于清清1 ; 张翠英1 ; 冀少林2
(山东省立第三医院 1. 骨科 2. 创伤与手足外科 山东 济南 250000 )
Author(s):
YU Qingqing1 ; ZHANG Cuiying1 ; JI Shaolin2
(1.Department of Orthopedics, 2.Department of Trauma and Hand-Foot Surgery,Shandong Provincial Third Hospital,Jinan 250000,Shandong,China)
关键词:
先天性拇指畸形; 无创支具; 矫正; 手术; 拇指功能
Keywords:
congenital thumb deformity;  non-invasive brace;  correction;  surgery;  thumb function
分类号:
R816.8
DOI:
10.15909/j.cnki.cn61-1347/r.005966
文献标志码:
A
摘要:
目的：探究无创支具矫正对先天性拇指畸形患儿术后拇指功能的影响。方法：回顾性分析2020年1月-2022年7月笔者 医院收治的77例先天性拇指畸形患儿临床资料，患儿均进行手术矫正治疗，根据患儿是否使用无创支具矫正进行分组，将进 行无创支具矫正的患儿纳入观察组（n=39），未进行无创支具矫正的患儿纳入对照组（n=38）。比较两组患儿术后矫正效 果、手功能[Jebsen手功能测试、Carroll手功能评定量表(Carroll uupper extremities functional test ，UEFT)]、拇指 角度（拇指桡侧被动外展角度、拇指掌侧外展角度、拇指背伸直角度）及并发症发生情况。结果：术后15、30、60 d，观察 组患儿矫正效果评分均高于对照组（P＜0.05）；术后60 d，观察组患儿Jebsen手功能测试时间短于对照组，UEFT评分高于 对照组，拇指桡侧被动外展角度、拇指掌侧外展角度、拇指背伸直角度均优于对照组，差异均有统计学意义（P＜0.05）； 术后，两组患儿并发症发生情况比较差异无统计学意义（P＞0.05）。结论：无创支具矫正用于辅助矫正先天性拇指畸形效 果显著，在术后早期能促进患儿手功能、拇指角度提升，且不会增加术后并发症，临床可根据患儿病情使用无创支具矫正。
Abstract:
Objective To investigate the infl uence of non-invasive brace correction on postoperative thumb function of children with congenital thumb deformity. Methods The clinical data of 77 children with congenital thumb deformity who were treated in the author’s hospital from January 2020 to July 2022 were retrospectively analyzed,and all the children were treated with surgery.According to whether the children adopted non-invasive brace for correction,the children with non-invasive brace correction were included in observation group (n=39),and the children without non-invasive brace correction were enrolled as control group (n=38).The postoperative correction effect and hand function [Jebsen hand function test,Carroll uupper extremities functional test (UEFT)],thumb angles (radial passive abduction Angle of the thumb,volar abduction Angle of the thumb,dorsal extension Angle of the thumb),and complicationswere compared between the two groups test. Results At 15,30,and 60 days after operation,the correction eff ect scores of the observation group were higher than those of the control group (P ＜0.05).Sixty days after the operation,the Jebsen hand function test time of the observation group was shorter than that of the control group,the UEFT score was higher than that of the control group,the Angle of passive abduction of the radial side of the thumb,the Angle of volar abduction of the thumb,and the Angle of dorsal extension of the thumb were better than those of the control group,and the diff erences were statistically signifi cant (P ＜0.05).After operation,there was no signifi cant diff erence in the incidence of complications between the two groups (P ＞0.05). Conclusion Non-invasive brace correction is eff ective in assisting the correction of congenital thumb deformity.It can promote the hand function and thumb Angle of children in the early stage after operation,and will not increase postoperative complications.
更新日期/Last Update: 2023-11-29