手部无人区屈指肌腱陈旧性断裂的改良重建治疗  

Modified Reconstruction of Old Rupture of Finger Flexor Tendon

作　　者：庄文杰[1] 唐学锋[1] 龙千里 杨忠奎[1] 陈实[1] 

机构地区：[1]贵阳医学院第二附属医院外三科,贵州凯里市556000

出　　处：《中国康复理论与实践》2013年第10期981-983,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨无人区屈指肌腱陈旧性断裂改良手术重建治疗的疗效。方法收治屈指肌腱陈旧性断裂患者30例,一期硅胶管植入,二期取出硅胶管,植入包裹可吸收生物膜的掌长肌,采用手指总主动活动度(TAM)评价效果。结果 30例患者(54指)中优30指,良20指,中4指,优良率92.6%。结论改良手术治疗可有效地防止术后肌腱粘连。Objective To explore the effect of reconstruction on old rupture of finger flexor tendon. Methods There were 30 patients (54 fingers) with old rupture of finger flexor tendon. The silica gel stick was implanted at the first stage. The palmaris longus tendon wrapped in the bioabsorbable membrane replaced the silica gel stick and was implanted at the second stage. The effectiveness was assessed by total ac-tive movement (TAM). Results There were 30 fingers as excellent, 20 fingers as good among 54 fingers of 30 patients. The percent of excel-lent and good was 92.6%. Conclusion Modified reconstruction is effective to prevent from tendon adhesion.

关 键 词：屈肌腱 陈旧性损伤 肌腱粘连 生物可吸收膜 

分 类 号：R687[医药卫生—骨科学]