并趾術(shù)后切口瘢痕疙瘩與足趾肥大畸形的相關(guān)性分析
發(fā)布時(shí)間：2021-11-23 05:08
目的:探討并趾分離術(shù)后發(fā)生的切口瘢痕疙瘩與并連足趾肥大畸形的相關(guān)性。方法:回顧性分析2011年01月至2016年01月我科行并趾分離術(shù)的253例患兒的臨床資料,調(diào)查患兒術(shù)前足趾形態(tài)、并連程度、手術(shù)方式、術(shù)后切口愈合情況以及術(shù)后瘢痕情況,利用SPSS 22.0軟件分析術(shù)前足趾形態(tài)、并連程度、手術(shù)方式、術(shù)后切口愈合情況與并趾術(shù)后瘢痕疙瘩發(fā)生的相關(guān)性。并對(duì)10例術(shù)前伴有并連足趾肥大畸形的患兒進(jìn)行前瞻性研究,以進(jìn)一步驗(yàn)證二者的相關(guān)性。結(jié)果:回顧性分析中:術(shù)后發(fā)生瘢痕疙瘩共8例,均為且僅為術(shù)前伴并連足趾肥大者,均為完全性并趾,手術(shù)均有植皮,而所有病例植皮供區(qū)均無(wú)瘢痕疙瘩發(fā)生。術(shù)后瘢痕疙瘩的發(fā)生在伴有術(shù)前并連足趾肥大、完全性并趾以及手術(shù)有植皮方面,組間差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;在切口愈合方面,組間差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。前瞻性研究中:4個(gè)并連的正常大小的足趾中,1個(gè)足趾分離后創(chuàng)面植皮,完全未發(fā)生瘢痕疙瘩,其余3個(gè)足趾利用肥大足趾轉(zhuǎn)移來(lái)的皮膚覆蓋創(chuàng)面未植皮,轉(zhuǎn)移皮瓣處有輕度瘢痕疙瘩,足趾其余區(qū)域無(wú)瘢痕疙瘩。17個(gè)術(shù)前伴肥大畸形的足趾,無(wú)論植皮與否,是否并連完全,術(shù)后均發(fā)...
【文章來(lái)源】：重慶醫(yī)科大學(xué)重慶市
【文章頁(yè)數(shù)】：37 頁(yè)
【學(xué)位級(jí)別】：碩士
【部分圖文】：
術(shù)前雙足照片對(duì)比，左第3趾肥大
圖 1 術(shù)前雙足照片對(duì)比，左第 3趾肥大Fig1 Comparison of bilateralpreoperative toes,left 3rd toehypertrophy圖 2 術(shù)前雙足 X 片對(duì)比，左第 4趾肥大Fig2 Comparison of bilateral toespreoperative X-ray, left 4th toehypertrophy圖 3 與相鄰足趾比較，第 3 趾肥大Fig3 Compared with adjacenttoes,3rd toe hypertrophy圖 4 女，1 歲。左圖：術(shù)前左足 3、4 趾完全并連伴足趾輕度肥大；中圖：術(shù)后 1 個(gè)月開(kāi)始出現(xiàn)瘢痕疙瘩，術(shù)后 3 個(gè)月時(shí)，瘢痕疙瘩嚴(yán)重；右圖：通過(guò)抗瘢痕綜合治療，術(shù)后 5 年時(shí)，瘢痕疙瘩已軟化Fig4 Female, 1 year old. Left figure: 3rd, 4th toes are complete syndactyly with slightly hypertrophy;Centralfigure: keloid occurred in 1 month after surgery, keloid is serious in 3 months;Right figure: Five years laterafter surgery, keloid had been softened by anti cicatricial therapy
圖 1 術(shù)前雙足照片對(duì)比，左第 3趾肥大Fig1 Comparison of bilateralpreoperative toes,left 3rd toehypertrophy圖 2 術(shù)前雙足 X 片對(duì)比，左第 4趾肥大Fig2 Comparison of bilateral toespreoperative X-ray, left 4th toehypertrophy圖 3 與相鄰足趾比較，第 3 趾肥大Fig3 Compared with adjacenttoes,3rd toe hypertrophy圖 4 女，1 歲。左圖：術(shù)前左足 3、4 趾完全并連伴足趾輕度肥大；中圖：術(shù)后 1 個(gè)月開(kāi)始出現(xiàn)瘢痕疙瘩，術(shù)后 3 個(gè)月時(shí)，瘢痕疙瘩嚴(yán)重；右圖：通過(guò)抗瘢痕綜合治療，術(shù)后 5 年時(shí)，瘢痕疙瘩已軟化Fig4 Female, 1 year old. Left figure: 3rd, 4th toes are complete syndactyly with slightly hypertrophy;Centralfigure: keloid occurred in 1 month after surgery, keloid is serious in 3 months;Right figure: Five years laterafter surgery, keloid had been softened by anti cicatricial therapy
本文編號(hào)：3513191
【文章來(lái)源】：重慶醫(yī)科大學(xué)重慶市
【文章頁(yè)數(shù)】：37 頁(yè)
【學(xué)位級(jí)別】：碩士
【部分圖文】：
術(shù)前雙足照片對(duì)比，左第3趾肥大
圖 1 術(shù)前雙足照片對(duì)比，左第 3趾肥大Fig1 Comparison of bilateralpreoperative toes,left 3rd toehypertrophy圖 2 術(shù)前雙足 X 片對(duì)比，左第 4趾肥大Fig2 Comparison of bilateral toespreoperative X-ray, left 4th toehypertrophy圖 3 與相鄰足趾比較，第 3 趾肥大Fig3 Compared with adjacenttoes,3rd toe hypertrophy圖 4 女，1 歲。左圖：術(shù)前左足 3、4 趾完全并連伴足趾輕度肥大；中圖：術(shù)后 1 個(gè)月開(kāi)始出現(xiàn)瘢痕疙瘩，術(shù)后 3 個(gè)月時(shí)，瘢痕疙瘩嚴(yán)重；右圖：通過(guò)抗瘢痕綜合治療，術(shù)后 5 年時(shí)，瘢痕疙瘩已軟化Fig4 Female, 1 year old. Left figure: 3rd, 4th toes are complete syndactyly with slightly hypertrophy;Centralfigure: keloid occurred in 1 month after surgery, keloid is serious in 3 months;Right figure: Five years laterafter surgery, keloid had been softened by anti cicatricial therapy
圖 1 術(shù)前雙足照片對(duì)比，左第 3趾肥大Fig1 Comparison of bilateralpreoperative toes,left 3rd toehypertrophy圖 2 術(shù)前雙足 X 片對(duì)比，左第 4趾肥大Fig2 Comparison of bilateral toespreoperative X-ray, left 4th toehypertrophy圖 3 與相鄰足趾比較，第 3 趾肥大Fig3 Compared with adjacenttoes,3rd toe hypertrophy圖 4 女，1 歲。左圖：術(shù)前左足 3、4 趾完全并連伴足趾輕度肥大；中圖：術(shù)后 1 個(gè)月開(kāi)始出現(xiàn)瘢痕疙瘩，術(shù)后 3 個(gè)月時(shí)，瘢痕疙瘩嚴(yán)重；右圖：通過(guò)抗瘢痕綜合治療，術(shù)后 5 年時(shí)，瘢痕疙瘩已軟化Fig4 Female, 1 year old. Left figure: 3rd, 4th toes are complete syndactyly with slightly hypertrophy;Centralfigure: keloid occurred in 1 month after surgery, keloid is serious in 3 months;Right figure: Five years laterafter surgery, keloid had been softened by anti cicatricial therapy
本文編號(hào)：3513191
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