(广东省深圳市沙井人民医院手外科， 广东 深圳 518104)

    摘 要：目的：探讨儿童先天性拇指扳机指的病因、临床特点和分型及治疗方法。方法：局麻或静脉全麻下，对31例患儿行狭窄腱鞘部分切除术，12例加用肌腱成形术治疗。结果：全部病例经6个月至5年随访，均未复发，无术后粘连。结论：①儿童先天性拇指扳机指绝大多数不能自愈，非手术治疗效果差。②直视下的狭窄腱鞘部分切除术或加用肌腱成形术是目前较好的治疗方法。

    关键词： 先天性； 拇指扳机指； 病 因； 治 疗

    Study 31 cases of Congenital Trigger Thumb in Children

    FANG Jun-qiang， ZHANG Zhen-wei， LIAO Jian-wen

    (Shajing People's Hospital of Shenzhen City , Guangdong Shenzhen 518104, China)

    Abstract： Objective : To discuss etiology clinical feature ,typing and treatment of congenital trigger thumb in children. Method: In 31 cases,under general aneshthesia, partial resection of Tendon sheath at the stenotic part was carried out ,with additional tendon plasty in twelve cases. Result : No recurrence happened during six months to five years follow-up,No adhesion occurred after operation.Conclusion :① Most cases of congenital trigger thumb in children have poor effects in conservative. ② Partial resection of stenotic part of tendon sheath or additional tendon plasty is an effective method for treatment of this disease. ......