改良留置注药管防治儿童创伤手术后屈指肌腱粘连  

Improvement for indwelling healer tube in prevention and cure the conglutination for children patiens after the surgery operation Flexor tendon tenosynovitis

作　　者：裴济民 何惠生 许丹 

机构地区：[1]河南省新乡巾第一人民医院,新乡453000

出　　处：《国际外科学杂志》2009年第8期534-536,共3页International Journal of Surgery

摘　　要：目的评价留置注药管防治手屈指肌腱术后粘连的有效性和安全性。方法2001年1月～2006年6月间38例儿童屈指肌腱断伤缝接术后鞘内留置注药管，并间隔定时注入利多卡因局麻药镇痛和玻璃酸钠润滑防粘连，术后早期康复锻炼。并设对照组进行对比分析，按术后关节功能和握拳功能恢复状况评价留置注药管的效果。结果术后随访6个月至2年，留置注药组34例46腱，优良率为89．1％。对照组30例44腱，优良率为63．6％，2组比较有统计学意义（P〈0．05）。结论留置注药管防治儿童手屈指肌腱断伤术后粘连具有显著疗效，且使用方便、安全，值得推广。Objective Evaluate the safety and efficacy of indwelling healer tube in prevention and cure the eonglutination after the surgurey of flexor tendon tenosynovitis. Methods During the year of 2001 2006, We have 38 young patients treated with indwelling of healer tube into the local or partial of the recovering muscle and sinew,then anesthetic and sodium hyaluronate were injected in the tube in certain intervals to lubicate and prevent conglutination after the operations of joint of children flexor tendon tenosynovitis. Then let the young patients do some healing training attne earlystage after surgery. Groups of patient were set up to inake comparative analysis and evaluate the effectiveness of indwelling of the healer tubes according to the re- covery status of the function of arthrosis and grasp after surgery. Results The result is that the rate of choiceness of 46 sinew is 89. 1% in 34 cases with indwelling healer tube after the observing period from 6 months to 2 years, whereas the other group of 44 sinew in 30 cases has the rate of choiceness of 63.6%. The comparison has the significant conclusion of statistics （ P 〈 0. 05 ）. Conclusion It is convenient and safe to use indwelling healer tube to prevent the conglutination after the operation of joint the broken finger muscle and sinew of children. Therefore it is worth popularizing and promoting.

关 键 词：手屈指肌腱 留置注药管 预防粘连 

分 类 号：R726.8[医药卫生—儿科]