Handicap International warned that explosive weapons were being widely used in heavily populated areas in violation of international law, and that unexploded ordnance posed a long-term threat.
"In total, 5.1 million people -- including two million children -- are living in areas highly affected by the use of explosive weapons, creating an immediate and long-term threat to their lives," the NGO said.
It said use of the weapons by all parties to the conflict was having "dreadful consequences for civilians."
"The wide use of explosive weapons combined with the lack of appropriate surgical care in Syria has a devastating impact on people's lives."
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The group's study found explosive weapons had been "massively used" by all parties to the conflict, accounting for more than 80 per cent of all recorded incidents of violence.
Three-quarters of incidents involving the weapons were in densely populated areas, suggesting "that the belligerents have no intention of effectively distinguishing between civilians and combatants, a violation of international humanitarian law," the report said.
"The impact of explosive weapons thus goes beyond the immediate casualties: the presence of explosive remnants of war remains an obstacle not only for the security and the wellbeing of the civilian population, but also for the overall reconstruction of the country."
Handicap International urged parties to the conflict to end the use of explosive weapons in densely populated areas, and to facilitate humanitarian access to those injured.
It called on the international community to condemn the use of explosive weapons in populated areas and to enforce a UN Security Council resolution demanding unfettered humanitarian access in Syria.