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羊膜带综合征:病例系列及新分类系统的建议

Amniotic constriction bands: a case series and proposed new classification system.

作者信息

Homer Lucy E, Mishra Anuj, McArthur Paul

机构信息

Alder Hey Children's Hospital, Eaton Road, West Derby, Liverpool, UK.

出版信息

Hand Surg. 2015;20(1):121-6. doi: 10.1142/S0218810415500173.

DOI:10.1142/S0218810415500173
PMID:25609285
Abstract

INTRODUCTION

Amniotic constriction bands occur in approximately one in every 15,000 live births and is graded using the Patterson Classification system.

METHODS

A case series of all patients with amniotic constriction band that presented to Alder Hey Children's Hospital was compiled between the years 1993 and 2012, data was described and a classification system developed.

RESULTS

Thirty seven patients were identified. Of these 17 had amniotic constriction confined to the upper limbs and three of the lower limbs only. Seventeen had both upper and lower limb deformity. Twenty eight children underwent surgical intervention whilst nine to date have not.

CONCLUSION

Constriction band of the upper limb was the most common with lower limb bands the least. There is no agreement on the nomenclature of this condition making amalgamation of the literature problematic. A more specific classification of upper limb bands has been suggested which includes anatomical location and depth of band.

摘要

引言

羊膜带综合征在每15000例活产婴儿中约有1例发生,并采用帕特森分类系统进行分级。

方法

收集了1993年至2012年间在奥尔德希儿童医院就诊的所有羊膜带综合征患者的病例系列,对数据进行了描述并制定了分类系统。

结果

共确定了37例患者。其中17例羊膜带仅局限于上肢,3例仅局限于下肢。17例上下肢均有畸形。28名儿童接受了手术干预,而至今仍有9名未接受手术。

结论

上肢束带最为常见,下肢束带最少见。关于这种病症的命名尚无统一意见,这使得文献的整合存在问题。有人建议对上肢束带进行更具体的分类,包括束带的解剖位置和深度。

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