Nogami H, Ito H, Arao K, Oki T, Futamura M
Department of Orthopaedic Surgery, Central Hospital, Kasugai, Aichi, Japan.
Pediatr Surg Int. 2000;16(7):533-5. doi: 10.1007/s003839900330.
Balloon digits were found in two neonates with congenital constriction ring syndrome. The affected digits were the right long finger and right great toe. They were surgically treated at the age of 10 and 9 days, respectively. Morphologic improvement was dramatic after surgery. In cases with extensive enlargement, severe cyanosis, redness, and no subsidence of edema within several days after birth, early operative treatment may be necessary to maintain digit viability and prevent autoamputation due to circulatory embarrassment. It can also be helpful to prevent fibrosis of the subcutaneous tissue. Pathologic examination revealed marked proliferation of fibrous tissue and lymphatic vessels.
在两名患有先天性束带综合征的新生儿中发现了气球样指（趾）。受累的指（趾）为右手中指和右拇趾。他们分别在10天和9天时接受了手术治疗。术后形态学改善显著。对于出生后数天内出现广泛肿胀、严重发绀、发红且水肿无消退的病例，可能需要早期手术治疗以维持指（趾）的存活并防止因循环障碍导致的自截。这对于预防皮下组织纤维化也可能有帮助。病理检查显示纤维组织和淋巴管明显增生。
