Visuthikosol V, Hompuem T
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Ann Plast Surg. 1988 Nov;21(5):489-95. doi: 10.1097/00000637-198811000-00017.
Thirty cases of constriction band syndrome diagnosed and treated with surgery at Ramathibodi Hospital, Bangkok, during 1973 to 1986 are reported. The incidence of this congenital anomaly could not be verified in this series because the number of cases was limited and the cause could not be concluded. The less frequent site of constriction band was the thumb, but acrocephalosyndactyly was the most common associated anomaly. All 30 cases were treated with surgery. One-stage Z-plasty encircling the limb was performed for those with pure constriction band. Cases of acrocephalosyndactyly were treated with staged separation of the digits as well as local flap and skin grafts. Good results were achieved in 16 of 20 patients with constriction band alone and in 4 of 10 acrosyndactyly cases. No compromised circulation of the distal limb or total flap loss was encountered in this study. This type of surgery certainly gives encouraging results.
本文报道了1973年至1986年间在曼谷拉玛蒂博迪医院诊断并接受手术治疗的30例束带综合征病例。由于病例数量有限且病因无法确定，本系列研究无法核实这种先天性异常的发病率。束带较少见的部位是拇指，但尖头并指畸形是最常见的相关异常。所有30例均接受了手术治疗。对于单纯束带患者，采用一期环绕肢体的Z成形术。尖头并指畸形患者采用分期分指以及局部皮瓣和植皮治疗。20例单纯束带患者中有16例取得了良好效果，10例尖头并指畸形患者中有4例取得了良好效果。本研究中未遇到远端肢体血液循环受损或皮瓣完全坏死的情况。这种手术方式确实取得了令人鼓舞的结果。
