手指末节闭合性损伤晚期并发Ⅰ区指伸肌腱损伤  

Secondary injury of zone I extensor tendon in dosed injury of the distal finger

作　　者：马世伟[1] 王春渤[1] 

机构地区：[1]沈阳医学院奉天医院手外科,110024

出　　处：《中华手外科杂志》2012年第2期65-66,共2页Chinese Journal of Hand Surgery

摘　　要：目的手指末节闭合性损伤晚期并发Ⅰ区指伸肌腱损伤的致病因素及其防治方法。方法2008年5月至2010年5月收治手指末节闭合性损伤患者中晚期并发工区指伸肌腱损伤19例，均采取手术治疗。结果术后19例获得随访，时间为6个月，参照手指总的主动活动度（TAM）评定标准：本组优6例，良8例，中3例，差2例；优良率为73．7％。结论手指末节闭合性损伤致工区指伸肌腱的血供破坏是晚期并发Ⅰ区指伸肌腱损伤可能的致病原因，伤后患指制动固定是有效的防治方法。Objective To explore the pathogenic factotsof seeondary injury of zoneI extensor tendon in closed injury of distal fingers and provide methods of prevention. Methods A retrospective study of 116 cases with closed injuries of the distal part of fingers between May 2008 and May 2010 was conducted. Secondary injury of extensor tendon at zone I was identified in 19 cases which all underwent surgical treatment. Results All 19 cases were follow-up for 6 months. According to total active motion （TAM） scoring, the results were excellent in 6 cases, good in 8 cases, fair in 3 cases, and poor in 2 cases, with the excellent and good rate being 73.7%. Conclusion As a possible pathogenic factor, damage to the blood supply of the extensor tendon due to closed injury of the distal finger may play an important role in secondary injury of zone I extensor tendon. Immobilization d the injured finger is an effective method for prevention.

关 键 词：腱损伤 指损伤 外科手术 

分 类 号：R658.2[医药卫生—外科学]