- 期刊
Constriction Ring Syndrome of Fingers: the Urgency in Congenital Hand Anomaly-Case Report
手指挾縮環症候群，先天性手部畸型之急症－病例報告
摘要
衆所皆知，對於手部先天性畸型之矯治角色大多數皆待至一定年齡後始施行手術而少行緊急之手術，手指挾縮環是一種罕見的先天性手部畸型，其表現可能為先天性截肢（重度）或者不同程度的畸型（中度，輕度）。對於中度及輕度畸之病患，Z整形術可被用來矯治其挾縮環。而在某些病例，挾縮環會造成手指血液之阻礙而須行緊急手術以挽救手指。一位4天大的嬰兒，在出生時即發現其右手食指，中指及無名指有先天性挾縮環。經過數天的觀察及保守療法，發現其手指遠端的腫脹程度愈來愈嚴重並且危及手指血液循環的傾向，我們利用Z整形術成功地一次矯治挾縮環並且挽救手指。術後追蹤，手指血循獲得保存，並且手指遠端腫脹逐漸消退。
關鍵字
無資料並列摘要
For the timing of treatments of congenital hand anomalies, as we know, the operations will be delayed until the patients grow old enough and there is few anomaly needs to be corrected urgently. The congenital constriction ring syndrome was a rare deformity of congenital hand anomaly. It may show auto-amputation in severe cases, deformities of fingers in moderate and mild cases. In moderate and mild cases, z-plasty reconstruction can be used for the correction of the ring constrictions of the fingers. In some cases, the constriction ring may cause circulatory embarrassment and urgent operation for correction of the constriction ring was indicated. An infant with congenital ring constrictions of three fingers of right hand was presented. There were severe swollen tissues distal to the constriction rings and impending ischemic change was noted. One-stage operation with excision of the constriction rings and z-plasty reconstruction were performed. There was no circulatory embarrassment of the fingers and the swelling subsided gradually in the later follow up.