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來源資料
頁籤選單縮合
題名 | Diplication of the Thumb--An Analysis of 116 Cases=拇指多指症--116例之分析 |
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作者姓名(中文) | 蕭弘道; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 20:3 1987.05[民76.05] |
頁次 | 頁175-183 |
分類號 | 416.615 |
關鍵詞 | 拇指多指症; |
語文 | 英文(English) |
中文摘要 | 多指症是東方人最常見之先天性手畸形,單純地將多餘的指頭切除,往往造成嚴重的後遺症。欲獲得較佳的結果常需要手術前詳細的計劃以及手術中肌腱及關節囊的重建。自民國68年5月至74年4月,馬偕醫院詩經歷了116例多指症,男性與女性比例為1.32/1,右手較常發生,30例合併其它先天性畸形。91例接受手術治療,67例接受迫踪檢查,後遺症以關節硬化占最多,若依Wassel氏分類,後遺症最常出現於第IV及VII類。治療多指症的時機以不超過6歲為主,太早手術常因指頭構造徵細,不易獲得較好的結果。 |
英文摘要 | Polydactyly is a common entity in the group of congenital anomalies of the hand. Simple ablation of the supernumerary fingers is still employed by many surgeons. However, that procedure frequently causes sequelae. From May 1979 to April 1985, one hundred and sixteen cases involving 129 hands were reviewed at Mackay Memorial Hospital (MMH). The sex incidence, side dominance, estimated population frequency, associated anomalies, classification, postoperative assessment and sequelae of surgical treatment were analyzed. Wassel's classification type IV was the most common group in this series. The incidence of radial polydactyly (0.67/1000) was higher than ulnar (0.06/1000). The stiffness of the interphalangeal (IP) joint and the metacarpophalangeal (MP) joint were the principal sequelae seen in postoperative assessment. Although the Bilhaut-Cloquet procedure was suitable for a symmetrically-duplicated thumb, the resulting joint stiffness should not be overlooked. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。