Ⅱ期修复少儿手指屈指肌腱损伤  

Delayed repair of the flexor digitorum tendon rupture in in fants:analysis of 32 cases

作　　者：李永波[1] 邵新中[1] 凌彤[1] 张经歧 韩金豹 张克亮[1] 

机构地区：[1]河北医学院附属三院手外科

出　　处：《中华手外科杂志》1995年第1期16-17,共2页Chinese Journal of Hand Surgery

摘　　要：少儿屈指肌腱损伤修复的时机及方法目前尚有争议。通过对３２例（４８指）年龄在１４个月至１２岁的患儿治疗后随访结果，我们认为肌腱损伤在６个月内修复，可以直接缝合；超过６个月则需行游离肌腱移植，疗效较差。我们只修复屈指深肌腱，若强求同时修复屈指深浅肌腱需扩大创面，增加缝合点，加重粘连。术后宜制动以防肌腱再断裂。生物膜在患儿手部应用亦有较好的疗效。Abstract There is controversy about the opportune time and method for repairing the infant flexor digitorum tendon rupture.Based on the treatment and followup of 32 patients(48fingers)With their age between 14 months to 12 years.We suggest: 1. The tendon Can be sutured end-to-end within 6months after injury.Otherwise, tendon transplantation is needed and the result will be worse. 2.Only flexor digitorum profundus tendons are need to be repaired. Repairing of both profound and superficial tendon will aggravate the trauma and enhance adhesin.3.Biological membrane is beneficial.4、Immobilization is important to prevent re-rupture.

关 键 词：屈指肌腱损伤 修复术 少年儿童 手 

分 类 号：R686.105[医药卫生—骨科学] R658.205[医药卫生—外科学]