小切口加可吸收线缝合治疗闭合性跟腱断裂  

Small incision and Absorbable suture for closed Achilles tendon rupture

作　　者：彭建强 张江 蔡汉周 韩卫东 李中檀 周经颖 邹庆宝 

机构地区：[1]深圳市第四(福田)人民医院骨科,广东518000

出　　处：《中国矫形外科杂志》2009年第14期1062-1064,共3页Orthopedic Journal of China

基　　金：2007年深圳市科技计划资助项目(编号:200702048)

摘　　要：[目的]探讨治疗闭合性跟腱断裂手术新方法,减少术后发生皮肤坏死。[方法]采用小切口加可吸收线(1-0普迪斯)在跟腱近侧断端行Bunnell缝合、远端行腱皮缝合,治疗39例闭合性跟腱断裂患者。[结果]39例中3例发生少许皮肤坏死,其中2例换药后愈合,1例经清创缝合后愈合。随访35例,时间10～36个月,平均时间23个月,按照Arner-Lindholm疗效评定标准,优29例(82.9%),良4例(11.4%),优良率达94.3%。[结论]小切口加可吸收线在跟腱近端断端行Bunnell缝合,远端腱皮缝合,对合可靠,创伤小,对皮肤血供影响小,发生皮肤坏死的可能性小,再断裂及感染机会少,功能恢复快,是治疗闭合性跟腱断裂的较好方法。[ Objective] To investigate new methods of the management of closed rupture of Achilles tendon surgery to reduce postoperative skin necrosis. [ Method ] Small incisions and absorbable sutures were used to manage 39 cases of closed Achilles tendon rupture,with proximal stump a Bunnell-type suture and remote stump percutaneous repair. [ Result] In the 39 cases, three developed slight skin necrosis,of which two healed by changing dressings,the other one healed by debriding and sutureing. Follow-up of 10 months to 36 months was available for 35 cases. According to Arner-Lindholm efficacy evaluation standard ,29 cases （82.9%） had excellent result,4 （11.4% ） had good result, with the good to excellent result of 94.3%. [ Conclusion ] Small incisions and absorbable sutures used to manage the closed Achilles tendon rupture, with proximal stump a Bunnell-type suture and remote stump percutaneous repair is an effective and reliable methord for closed Achilles tendon repture, with small invasion,less impact on the skin blood supply, less skin necrosis,less re-rupture reinfection,and faster recovery.

关 键 词：可吸收线 跟腱断裂 闭合损伤 皮肤坏死 

分 类 号：R687.2[医药卫生—骨科学]