Multidisciplinary team for the diagnosis and treatment of congenital band syndrome
10.3760/cma.j.cn101070-20201204-01849
- VernacularTitle:多学科联合诊疗先天性束带综合征
- Author:
Changying ZHAO
1
;
Hang ZHANG
;
Lingxia LI
;
Yanhong LYU
;
Rui SHU
;
Yu WANG
;
Honghu JIN
;
Rui CONG
Author Information
1. 中国人民解放军空军军医大学第一附属医院骨科，西安 710032
- Keywords:
Constriction ring band, congenital;
Multidisciplinary team;
Surgery
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(20):1576-1578
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the significance of multidisciplinary team for the diagnosis and treatment of congenital band syndrome.Methods:Five children with congenital circular band syndrome admitted in the First Affiliated Hospital of the Chinese People′s Liberation Army Air Force Medical University from January 2017 to January 2020 were retrospectively analyzed.They were diagnosed, treated and followed up by a multidisciplinary team including the department of obstetrics and gynecology, ultrasound, and orthopedics from the fetal stage.Results:One case was found with gradually aggravated ring band that affects the blood circulation of distal limbs during fetal examination, who was promptly performed with partial band release under fetoscopy.All cases had Patterson type Ⅰ ring bands at birth, and distal limbs did not have obvious deformity.They were performed with selective annular band resection, and postoperatively followed up for an average of 10.6 (8-13) months.The annular depression of the skin disappeared, and the appearance and function recovered satisfactory.According to the monitoring of side effects scale (Moses), 4 cases were excellent, 1 case was good, and the excellent and good rate was 100%.Conclusions:The multidisciplinary team for the diagnosis and treatment of congenital band syndrome can maximize the professional advantages of physicians with diffe-rent specialties, make early diagnosis and treatment, minimize the compression of the ring band on the limbs, and avoid serious limb deformities.It is worthy of clinical application.
