屈指肌腱粘连松解术的疗效分析  

Results of Tenolysis for Adilesion of RepaircdDigital Flexor Tendon

作　　者：孟永生[1] 刘巨荣[1] 许文普[1] 蒋辛稼 费起礼[1] 

机构地区：[1]天津河西医院骨科,天津医院手外科

出　　处：《中华骨科杂志》1995年第6期347-349,共3页Chinese Journal of Orthopaedics

摘　　要：屈指肌腾损伤修复后的粘连仍是一个难题，在屈指肌腱Ⅱ区仍有３１％～５０％粘连发生，目前对鞘内屈指肌腱粘连的治疗，肌腱松解手术乃是一个切实可行，行之有效的方法，本文报告５８例１００指治疗结果的分析，优良率为６９％，随访时间最短的１３个月，最长的１５年，平均８年６个月。本文着重讨论了判断屈指肌腱粘连松解是否彻底的方法，即在手术中让患者主动屈指或在腕上做探查，判断有否粘连条带的存在，如有需将粘连条带切断，本组有５例。其次是蚓状肌阳性样手指的诊断及处理方法，即游离肌腥移植过长或蚓状肌挛缩时，手指主动屈曲时近指间关节反而过伸的现象，此种情况需将蚓状肌延长或切断，本组有２指。作者强调手术中彻底止血，牢靠缝合及手术后功能锻炼等的重要性。AbstractAdhesino of repaired digital fiexor tendon is still aprobiem not effectively solve. Although someprophylactic measures have been tried, abhesion haddeveloped in as much 31%～50%of the cases in flexorsheath of zone 2.Up to the present, tenolysis hasbeen consMered to be the effective method for thetreatrnent of adhesion of flexor tendon. The authorsreported 58 cases(100 fingers) suffering fromadhesion to l5 years with an average of 8.5 years, Theresults were evaluated with the TAM system;thesatisfactory outcome was seen in 69%, The authorsemphasized the importance of homeostasis, suture andpostoperative exercise.

关 键 词：肌腱解术 蚓状肌 阳性手指 粘连条带 屈指肌腱 

分 类 号：R658.205[医药卫生—外科学]