先天性多指畸形康复专家共识(2026版)OA
Expert consensus on the rehabilitation of congenital polydactyly
目的 基于循证医学证据与多学科专家共识,构建先天性多指畸形围手术期全流程康复体系,提升康复干预的规范性与精准性.方法 遵循PRISMA规范,系统检索国内外文献,采用GRADE方法对证据质量进行评价,并通过改良Delphi法开展3轮专家函询,形成推荐意见.结果 纳入相关文献并形成8条推荐意见,涵盖多指畸形分型诊断、术前准备、术后康复、矫形器应用、继发畸形防治及长期随访等关键环节.结论 本共识构建了以功能重建为导向的围手术期精准康复路径,有助于改善手部结构与功能重建效果,提高患者生活质量,为临床实践提供标准化参考.
Objective To establish a comprehensive perioperative rehabilitation system for congenital polydactyly based on evidence-based medicine and multidisciplinary expert consensus,aiming to improve the standardization and precision of rehabilitation interventions.Methods A systematic literature search was conducted in accordance with PRISMA guidelines.The quality of evidence was evaluated using the GRADE approach,and three rounds of expert consultation were performed using a modified Delphi method to formulate recommendations.Results A total of relevant studies were included,and eight recommendations were developed,covering key aspects such as classification and diagnosis of polydactyly,preoperative preparation,postoperative rehabilitation,orthotic intervention,prevention of secondary deformities,and long-term follow-up.Conclusion This consensus establishes a function-oriented,precise perioperative rehabilitation pathway,which contributes to improving structural and functional reconstruction of the hand,enhancing patients'quality of life,and providing a standardized reference for clinical practice.
中国康复医学会康复辅具应用专业委员会;中国医师协会美容与整形医师分会手整形专业委员会;王斌;俞沁圆
上海交通大学医学院附属第九人民医院整复外科澳门城市大学大健康学院
医药卫生
先天性多指畸形精准康复专家共识
Congenital polydactylyPrecision rehabilitationExpert consensus
《组织工程与重建外科杂志》 2026 (2)
109-118,10
国家重点研发计划(2022YFC2703700,2022YFC270 3704)国家自然科学基金(82471886)上海市整形与修复重建临床医学研究中心上海市科委项目(22MC1940300)上海交通大学医学院附属第九人民医院先天性肢体畸形生物样本库建设项目(YBKB202108)罕见病注册登记项目(JYHJB202205)上海市残疾人联合会科技攻关项目(2024KJ1006)上海市养志康复医院(上海市阳光康复中心)面上项目(YJKYMS202007)上海市养志康复医院(上海市阳光康复中心)阳光临床研究培育项目(YNPP-2024CRZH009)上海申康医院发展中心诊疗技术推广及优化管理项目(SHDC12023102).
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