摘要
目的探讨改良Bilhaut-Cloquet术在拇指多指畸形患儿中的应用效果。方法选取2018年12月至2021年9月我院收治的42例拇指多指畸形患儿为研究对象,根据手术方式的不同将其分为对照组(21例)与观察组(21例)。对照组采用传统Bilhaut-Cloquet术治疗,观察组采用改良Bilhaut-Cloquet术治疗。比较两组患儿的治疗效果。结果观察组患儿的治疗优良率为100.00%,明显高于对照组的71.43%(P<0.05)。观察组的住院时间及截骨愈合时间均短于对照组(P<0.05)。观察组的不良拇指外观总发生率低于对照组(P<0.05)。观察组的关节活动范围大于对照组,关节稳定性优于对照组,成角畸形小于对照组(P<0.05)。两组的并发症总发生率比较,差异无统计学意义(P>0.05)。术后,两组的生理功能、情感功能、社交功能、角色(学校)功能评分均升高,且观察组高于对照组(P<0.05)。术后,两组的认知功能、思维语言、意志行为、情绪体验、个性特征评分均升高,且观察组高于对照组(P<0.05)。观察组患儿家属的护理满意度为95.24%,显著高于对照组的66.67%(P<0.05)。结论改良Bilhaut-Cloquet术在拇指多指畸形患儿中的应用效果显著,有利于缩短患儿的住院时间及截骨愈合时间,降低指体宽大、指甲畸形及指体窄小的发生率,改善关节活动范围、关节稳定性、成角畸形及患儿的心理状态,提高患儿的生活质量及家属满意度。
Objective To explore the application effect of modified Bilhaut-Cloquet operation in children with thumb polydactyly.Methods A total of 42 children with thumb polydactyly admitted in our hospital from December 2018 to September 2021 were selected as the study objects.According to the different surgical methods,the children were divided into control group(21 cases)and observation group(21 cases).The control group was treated with traditional Bilhaut-Cloquet operation,and the observation group was treated with modified Bilhaut-Cloquet operation.The therapeutic effects of the two groups were compared.Results The excellent and good rate of treatment in the observation group was 100.00%,which was significantly higher than that of 71.43%in the control group(P<0.05).The hospital stay and osteotomy healing time in the observation group were shorter than those in the control group(P<0.05).The total incidence of poor thumb appearance in the observation group was lower than that in the control group(P<0.05).The range of joint activity in the observation group was greater than that in the control group,the joint stability was better than that in the control group,and the angular deformity was less than that in the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).After operation,the scores of physiological function,emotional function,social function and role(school)function in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After operation,the scores of cognitive function,thinking language,will behavior,emotional experience and personality characteristics of the two groups increased,and those of the observation group were higher than the control group(P<0.05).The nursing satisfaction of the family members of the children in the observation group was 95.24%,which was significantly higher than 66.67%in the control group(P<0.05).Conclusion The application of the modified bilhaut Cloquet procedure in children with thumb polydactyly has a significant effect.It is conducive to shortening the hospital stay and osteotomy healing time,reducing the incidences of finger width,nail deformity and finger stenosis,improving the range of joint movement,joint stability,angulation deformity and the psychological status of children,and promoting the quality of life of children and satisfaction of family members.
作者
刘新强
屈笃哲
LIU Xinqiang;QU Duzhe(Baoji Central Hospital,Baoji 721000,China)
出处
《临床医学研究与实践》
2022年第18期39-42,47,共5页
Clinical Research and Practice
