62例跟腱断裂修复手术远期疗效观察  

LONG TERM CLINICAL OBSERVATION AFTER REPAIR OF RUPTURED ASCHILLES TENDON (with 62 cases report)

作　　者：郭天林[1] 胡复荪[1] 项良碧[1] 叶常煜 

机构地区：[1]沈阳军区总医院急诊外科,沈阳110015

出　　处：《中国修复重建外科杂志》2000年第1期35-36,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　探讨手术修复跟腱断裂的临床效果和影响预后的因素。方法　对1961 年1994 年80 例采用手术治疗的跟腱断裂中的62 例临床资料进行分析,其中采用“8”字缝合法8 例,两条腱膜瓣下翻修复30 例,腓骨长肌移位修复2 例,倒“VY”形腱成形术10 例,对端褥式缝合12 例。结果　62 例随访333 年,按尹庆水评分标准,优40 例,良13 例,可6 例,差3 例,优良率为85-5 % 。术后感染和再断裂各6 例,各占总数的9-7 % 。结论根据创伤类型采用不同的手术修复可获得良好的远期疗效;Objective To investigate the clinical result and influence factors of prognosis after repair of ruptured Achilles tendon with operative treatment. Methods From 1961 to 1994, 62 cases with ruptured Achilles tendon were treated operatively. Among them, “8” shaped suture was used in 8 cases, aponeurosis flap repair in 30 cases, transfer repair of tendon of peroneus longus muscle in 2 cases, reverse “V Y” shaped tendon plastic operation in 10 cases, and mattress suture of opposite ends in 12 cases. Results Followed up 3 to 33 years, there was excellent in 40 cases, better in 13 cases, moderate in 6 cases, poor in 3 cases, 85.5% in excellent rate. Postoperative infection and re rupture were occurred in 6 cases respectively. Conclusion Different operative procedures are adopted to achieve better long term clinical result according to the injury types.

关 键 词：跟腱断裂 外科手术 疗效观察 

分 类 号：R687.2[医药卫生—骨科学]