阿佩尔手部畸形——针对所有类型畸形的单阶段、五指松解的血管造影规划。
The Apert hand--angiographic planning of a single-stage, 5-digit release for all classes of deformity.
作者信息
Harvey Isaac, Brown Scott, Ayres Oliver, Proudman Timothy
机构信息
Department of Medical Imaging, Women's and Children's Hospital, North Adelaide, South Australia.
出版信息
J Hand Surg Am. 2012 Jan;37(1):152-8. doi: 10.1016/j.jhsa.2011.10.017.
PURPOSE
To demonstrate the utility of computed tomography angiographic planning of a single-stage, complete release of syndactyly in Apert syndrome.
METHODS
Computed tomography angiograms were performed as a preoperative planning tool in 6 patients. Five came to surgery. All had a single-stage operation for complete release of their syndactyly.
RESULTS
Five patients, ranging from Upton type 1 to type 3 Apert hand deformities, have had preoperative computed tomography angiography that delineated the vascular anatomy. This allowed planning and execution of a single-stage syndactyly release in all patients. The preoperative imaging identified noteworthy abnormalities in vascular anatomy that were incorporated into surgical planning.
CONCLUSIONS
The protocol presented allows preoperative planning and single-stage operation for complete release of syndactyly in patients with Apert syndrome.
目的
证明计算机断层血管造影术在Apert综合征并指一期完全松解手术规划中的实用性。
方法
对6例患者进行计算机断层血管造影作为术前规划工具。其中5例接受了手术。所有患者均接受了并指一期完全松解手术。
结果
5例患者，Apert手部畸形从Upton 1型到3型，术前行计算机断层血管造影术描绘了血管解剖结构。这使得所有患者都能规划并实施并指一期松解手术。术前成像发现了血管解剖结构中的显著异常，并将其纳入手术规划。
结论
所提出的方案能够为Apert综合征患者的并指完全松解进行术前规划和一期手术。
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