食指固有伸肌腱移位重建拇长伸肌功能及评价  

EVALUATION OF RECONSTRUCTION OF EXTENSOR POLLICIS FUNCTION BY TRANSFER OF EXTENSOR INDICIS

作　　者：詹海华[1] 阚世廉[1] 费起礼[1] 宫可同[1] 鲁毅军[1] 张宝贵[1] 韩力[1] 

机构地区：[1]天津医院手显微外科,天津300211

出　　处：《中国修复重建外科杂志》2004年第4期301-303,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　评价采用食指固有伸肌腱移位重建拇长伸肌功能的临床疗效。　方法　对 1978年 8月～ 2 0 0 3年 3月以食指固有伸肌移位重建拇长伸肌功能的 4 6例患者进行随访、评价。其中男 32例 ,女 14例。年龄 16～ 5 1岁 ,平均 36岁。外伤陈旧性断裂 2 4例 ,继发性断裂 2 2例。病程 2天～ 5个月 ,平均 74天。　结果　 4 1例获 7个月～ 2 3年随访 ,平均 9年 3个月。术后拇指抬高丢失 0～ 2 .2 cm,平均 1.8cm;拇指屈曲丢失 0～ 3cm,平均 1.6 cm;食指均能单独背伸 ,背伸丢失 0～ 8度 ,平均 5度。按 SEEM评分标准 :优 2 9例 ,良 10例 ,可 2例 ,优良率达 95 %。　结论　食指固有伸肌腱移位重建拇长伸肌功能是一种简便、有效的方法 ,采用Objective To assess the long time results of reconstruction of the extensor pollicis longus (EPL) function by transfer of the extensor indicis(EI). Methods From August 1978 to March 2003, 46 cases of loss of the EPL function were treated by transfer of the extensor indicis. Of 46 cases, there were 32 males and 14 females, aged 16 51 years with an average of 36 years; there were 24 cases of old traumatic rupture and 22 cases of secondary rupture. The disease course was 2 days to 5 months, averaged 74 days. A specific EI EPL evaluation method (SEEM) was used to measure the EPL function after transfer. Results Forty one cases were followed up 9 years and 3 months on average (7 months to 23 years). Based on the SEEM, the results were excellent and good in 39 of 41 patients. The elevation deficit and combined flexion deficit were 0 2.2 cm (1.8 cm on average) and 0 3 cm (1.6 cm on average); the independent extension deficit was 0° 8° (5° on average). Conclusion Restoration of the extensor pollicis function by transfer of the extensor indicis is an effective and safe treatment option and the SEEM is a valid method for assessing EPL function.

关 键 词：食指固有伸肌腱 移位 重建 拇长伸肌 

分 类 号：R658[医药卫生—外科学]