腕掌侧切割伤103例治疗分析  

Treatment of incised wound in the palmar wrist: 103 cases' report

作　　者：崔永光[1] 李中锋[1] 安梅[1] 卢宏[1] 袁正江[1] 陈永彩[1] 任有成[1] 

机构地区：[1]河南省显微外科研究所,洛阳471003

出　　处：《洛阳医专学报》1999年第2期89-90,共2页Journal of Luoyang Medical College

摘　　要：目的　探讨修复腕掌侧切割伤的特点和临床效果。方法　分析自 1 984年 1 0月至 1 996年 9月收治的腕掌侧切割伤 1 0 3例的处理方法及其疗效。结果　全部病例随访 1～ 6年 ,肌腱功能按TAM系统评价 ,优 5 5例 ,良37例 ,优良率 89.3%。神经功能按英国医学研究会颁布标准评价 ,优 5 2例 ,良 39例 ,优良率 88.3%。新鲜伤疗效较好。结论　腕掌侧切割伤应争取一期修复损伤组织的连续性 ;显微外科技术的应用和早期功能锻炼是提高疗效的关键。Objective To discuss the characteristic of incised wound in the palmar wrist . Methods The treatment results of 103 cases treated from October 1984 to September 1996 were analyzed. Results All the patients were followed up for 1～6 years.Good results of the tendons repaired were achieved in 89.3% cases and evaluated by TAM system. According to the rating standard of British Medical Academy, nerve function restored to excellent and good in 88.3% cases. The curative effect of the patients with fresh injuries was better than that with old injuries. Conclusions It is beneficial for the recovery function that primary repair for injured tissue should be made as soon as possible. Application of microsurgical techniques and early exercise is essential to improve treatment outcome.

关 键 词：腕掌侧损伤 肌腱 神经 临床特点 修复 

分 类 号：R658.205[医药卫生—外科学]