摘要
目的分析儿童复拇畸形术后指体侧偏的发生状况,并探讨其发生的影响因素。方法抽取2018年9月至2021年9月于焦作煤业集团中央医院行复拇畸形术治疗的患儿86例,所有患儿均随访1年,依据是否发生指体侧偏分为发生组与未发生组。比较两组患儿一般资料,包括年龄、性别、手术时间、住院天数、居住地区、Wassel分型、术前血常规指标、手术切口方式及术后外固定时间,并采用Logistic回归分析儿童复拇畸形术后指体侧偏的发生状况及影响因素。结果术后1年内,86例患儿中发生指体侧偏12例(13.95%),纳入发生组;未发生指体侧偏74例(86.05%),纳入未发生组。两组患儿年龄、性别、手术时间、住院天数、居住地区、Wassel分型、红细胞计数(RBC)、血小板计数(PLT)、白细胞总数(WBC)比较,差异未见统计学意义(P>0.05)。发生组合并虎口狭窄、手术切口为"Z"字比例高于未发生组,术后外固定时间短于未发生组(P<0.05)。经Logistic回归分析结果显示,合并虎口狭窄、手术切口为"Z"字为术后指体侧偏发生的危险因素(OR>1,P<0.05);术后外固定时间长为术后指体侧偏发生的保护因素(OR<1,P<0.05)。结论儿童复拇畸形术后患者存在一定的指体侧偏发生风险,合并虎口狭窄、手术切口为"Z"字、术后外固定时间为术后指体侧偏发生的影响因素。
Objective To analyze the occurrence of finger body lateral deviation in children after the operation of thumb duplication deformity,and to investigate the influencing factors of occurrence.Methods The clinical data of 86 children who underwent thumb duplication deformity surgery in Jiaozuo Coal Industry Group Central Hospital from September 2018 to September 2021 were collected.All children were followed up for 1 year,and they were divided into the occurrence group and the non-occurrence group according to the occurrence of finger body lateral deviation.The general data of the two groups were compared,including age,gender,operation time,hospital stay,habitual residence,Wassel classification,preoperative blood routine indexes,surgical incision method and postoperative external fixation time.Logistic regression analysis was used to analyze the occurrence condition and influencing factors of occurrence of finger body lateral deviation after the operation for thumb duplication deformity in children.Results Within 1 year after operation,12(13.95%)of the 86 children had finger body lateral deviation,and they were included in the occurrence group;74(86.05%)of the 86 children had no finger body lateral deviation,and they were included in the non-occurrence group.There was no statistical significant difference between the two groups in age,gender,operation time,length of hospital stay,habitual residence,Wassel classification,red blood cell count(RBC),platelet count(PLT)and total white blood cell count(WBC),P>0.05.The ratio of children with narrowing of first web and Z-shape surgical incision in the occurrence group were higher than those in the non-occurrence group,and the time of external fixation was shorter than that in the non-occurrence group(P<0.05).The results of Logistic regression analysis showed that the narrowing of first web and Z-shape surgical incision were risk factors for the occurrence of finger body lateral deviation after operation(OR>1,P<0.05).The long time of external fixation after operation was the protective factor for the occurrence of finger body lateral deviation after operation(OR<1,P<0.05).Conclusions There is a certain risk of finger body lateral deviation in children with thumb duplication deformity after operation,and the factors affecting the occurrence of finger body lateral deviation include narrowing of first web,Z-shape surgical incision and the time of external fixation after operation.
作者
王永富
Wang Yongfu(Department of Microplastic Surgery,Jiaozuo Coal Industry Group Central Hospital,Jiaozuo 454150,China)
出处
《中国实用医刊》
2023年第8期40-43,共4页
Chinese Journal of Practical Medicine
关键词
手畸形
先天性
指体侧偏
儿童
影响因素
Hand deformity,congenital
Finger body lateral deviation
Children
Influencing factor
