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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Ten-year experience with one-step correction of constriction rings by complete circular resection and linear circumferential skin closure
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Ten-year experience with one-step correction of constriction rings by complete circular resection and linear circumferential skin closure

机译：通过完整的圆形切除术和线性圆周皮肤闭合进行一步法矫正收缩环的十年经验

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Background In amniotic band syndrome (ABS) constriction rings affecting the limbs are regularly seen at birth. Circular resection and closure with multiple Z-plasties has been described as the treatment of choice. However, direct circular closure creating linear circumferential scars might replace multiple Z- or W-plasties to reduce scars and improve aesthetic outcome. Methods From 2000 to 2009 we treated 160 patients with ABS. In 43 cases release of isolated constriction rings was performed by circular excision and closure. Constriction rings were completely resected and skin closure could be performed without Z-plasty in all cases. Data from follow-up of all cases were reviewed and photographs and recordings reassessed. The median age at operation was 14.3 months (range 2-32). Constriction rings were localised on the upper arm in five patients, the lower arm in five, the wrist in two and at the metacarpal level in five. At the lower extremity the thigh was affected in three and the lower leg in 23 patients. Results In the 16 cases of the first treatment period from 2000 to 2004, average follow-up was 6.5 years (range 5.1-10.3). We observed two minor complications following 43 operations (wound dehiscence and secondary healing). No formation recurrence of banding was seen. Aesthetic outcome was overall good. Conclusions We found excellent aesthetical and functional results following change of treatment from multiple Z-plasties to linear circumferential closure. Scars were generally less noticeable and no recurrence or scar constriction could be detected with growth. However, radical excision of all constricting tissues prior to wound closure is mandatory.
机译：背景技术在羊带综合症（ABS）中，经常在出生时见到影响四肢的收缩环。圆形切除和多次Z形成形术闭合已被选为治疗方法。但是，直接圆形闭合产生线性圆周疤痕可能会替代多个Z形或W型整形术，以减少疤痕并改善美学效果。方法2000年至2009年，我们共治疗了160例ABS患者。在43例中，通过环形切除和闭合进行了分离的收缩环的释放。在所有情况下，都完全切除了收缩环，并且无需Z形成形术即可进行皮肤闭合。回顾了所有病例随访的数据，并重新评估了照片和记录。手术中位年龄为14.3个月（范围2-32）。缩窄环位于五名患者的上臂，五名位于下臂，二名位于腕部，五名位于掌骨水平。下肢大腿受累3例，小腿受累23例。结果2000年至2004年首次治疗的16例患者的平均随访时间为6.5年（范围5.1-10.3）。我们观察了43例手术后的两个小并发症（伤口裂开和继发性愈合）。没有看到条带的形成重复。美学效果总体良好。结论在将治疗从多种Z型成形术改为线性圆周闭合术后，我们发现了极好的美学和功能效果。疤痕通常不那么明显，并且随着生长而无法检测到复发或疤痕狭窄。但是，必须在伤口闭合之前彻底切除所有收缩组织。

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