Tehran University Medical Journal
مجله دانشکده پزشکی، دانشگاه علوم پزشکی تهران
Tehran Univ Med J
Medical Sciences
http://tumj.tums.ac.ir
1
admin
1683-1764
1735-7322
10.18869/acadpub.tumj
000
000
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fa
jalali
1390
8
1
gregorian
2011
11
1
69
8
online
1
fulltext
fa
بررسی نتایج درمان جراحی بیماران مبتلا به سینداکتیلی دست، مراجعهکننده به بیمارستان امامخمینی (ره) تهران بین سالهای 1390-1375: گزارش کوتاه
Surgical treatment outcomes in patients with syndactyly in Imam Khomeini Hospital in Tehran, Iran during 1996-2011: a breif report
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<!--stripped--></p>
<p dir="rtl" style="text-align: justify direction: rtl unicode-bidi: embed" class="MsoNormal"><strong><span style="font-size: 10pt">زمینه و هدف</span></strong><span style="font-size: 10pt">:</span><span style="font-size: 10pt"> </span><span style="font-size: 10pt">سینداکتیلی شایعترین
آنومالی مادرزادی دست و انسیدانس آن در حدود یک در 2500-2000 تولد زنده میباشد. بنابراین
در این مطالعه به بررسی نتایج نهایی عمل جراحی و عوارض بیماران مبتلا به سینداکتیلی
پرداختیم. </span><strong><em><span style="font-size: 10pt"><br></span></em></strong></p><p dir="rtl" style="text-align: justify direction: rtl unicode-bidi: embed" class="MsoNormal"><strong><span style="font-size: 10pt">روش بررسی:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">در این مطالعه بیماران
مبتلا به سینداکتیلی دست که بین سالهای 1375 تا1390 در بیمارستان امامخمینی تحت
عمل جراحی قرار گرفتهاند و معیارهای ورود به مطالعه را داشتند، از لحاظ چهار فاکتور
عملکرد، ظاهر، حس و عوارض معاینه و بررسی شدند. مدت پیگیری بیماران حداقل سه سال
بود.<span style="color: red"> </span></span><strong><em><span style="font-size: 10pt"><br></span></em></strong></p><p dir="rtl" style="text-align: justify direction: rtl unicode-bidi: embed" class="MsoNormal"><strong><span style="font-size: 10pt">یافتهها:</span></strong><span style="font-size: 10pt"> </span><span style="font-size: 10pt">42 بیمار (27 پسر، 15 دختر)
مورد بررسی قرار گرفتند و میانگین سن بیماران 4/4 سال بود. سابقه فامیلی مثبت در هشت
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نهایی مطالعه ما 5/78 درصد خوب، 5/12 درصد متوسط و 4/8 درصد ضعیف بوده است. نتایج نهایی
عمل جراحی پس از 18 ماهگی، بهتر بود.</span></p>
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<!--stripped--> <strong>Background</strong><strong>:</strong> Syndactyly
is the most common congenital malformation of the hand, with an incidence of 1 in 2000-2500 live births. In this
study we evaluated the surgical outcomes and complications of patients with
syndactyly.<br><strong>Methods</strong> <strong>:</strong> The surgical outcomes and complications of 42 patients, 27 male and 15, female, undergoing surgery
for syndactyly were evaluated. The study took place in Imam Khomeini Hospital,
in Tehran, Iran during 1996 to 2011. Having had the inclusion criteria, the patients were assessed for
function, cosmetic outcome, sensation and occurrence of complications. The
patients were followed-up for at least 3 years.<br><strong>Results</strong> <strong>:</strong> The mean age of patients was 4.4 years. There was a positive familial history for the disease in 8 patients. 71.4%, 90.4% and 73.8% of the participants had good
results regarding cosmetic outcome, sensation and function, respectively.<br><strong>Conclusion:</strong> The
overall results of surgery for syndactyly in this study were interpreted as
good in 78.5%, moderate in 12.5%
and fair in 8.4% of the patients. This study
confirmed better surgical outcomes in patients older than 18
months.</p>
سینداکتیلی،آنومالی دست،درمان جراحی
Hand anomaly,surgical treatment,syndactyly
518
521
http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-209&slc_lang=fa&sid=1
Farzan
M
محمود
فرزان