组织工程与重建外科杂志2018，Vol.14Issue(5)：269-271,294,4.DOI:10.3969/j.issn.1673-0364.2018.05.009
微型支架联合手部多功能支具在防治虎口挛缩中的应用研究
Application of Miniature Stent Combining Hand Orthosis in the Prevention and Treatment of Thumb Web Contracture
摘要
Abstract
Objective To explore the clinical effect of miniature stent combining hand orthosis in the prevention and treatment of thumb web contracture. Methods From February 2013 to October 2014, 42 cases with thumb web contracture were selected and randomly divided into 4 groups according to different treatments: stent & orthosis treatment group, stent treatment group, orthosis treatment group and conventional treatment group. After 16 weeks of follow-up, the width and angle of thumb web were observed and recorded. The superiority of each scheme was analyzed statistically. Results The width of thumb web increased (24.1±5.8) mm, (9.6±4.6) mm, (15.8±1.9) mm, (4.0±5.4) mm in stent & orthosis treatment group, stent treatment group, orthosis treatment group and conventional treatment group respectively 16 weeks after operation, and the differences among 4 groups were statistically significant (P<0.05). The angle of thumb web increased (23.5±6.1)°, (9.6±4.6)°, (15.7±1.9)°, (3.9±5.4)°in stent&orthosis treatment group, stent treatment group, orthosis treatment group and conventional treatment group respectively 16 weeks after operation, and the differences among 4 groups were statistically significant (P<0.05). Expect for one case of pinhole infection which cured after dressing change, no adverse reaction was observed. Conclusion Miniature stent combining hand orthosis for the prevention and treatment of thumb web contracture can effectively increase the width and angle of thumb web with less adverse reactions. It is worthy of popularization and application.关键词
虎口挛缩/微型支架/手部支具Key words
Thumb web contracture/Miniature stent/Hand orthosis分类
医药卫生引用本文复制引用
叶惠萍,王应琼,高峻青,张家盛,付记乐..微型支架联合手部多功能支具在防治虎口挛缩中的应用研究[J].组织工程与重建外科杂志,2018,14(5):269-271,294,4.基金项目
佛山市科技创新平台建设项目(2014AG10005) （2014AG10005）
佛山市十三五医学重点专科建设项目(FSZTZK135039). （FSZTZK135039）
