手部屈肌腱缝合的实验研究与临床应用  

EXPERIMENTAL STUDY AND CLINICAL APPLICATION OF SUTURE ON FLEXOR TENDON OF HAND

作　　者：李昶[1] 吴一民[1] 谢明娟[1] 侯赛云[1] 王润生[1] 张琪[2] 

机构地区：[1]内蒙古医学院第二附属医院骨科 [2]内蒙古医学院解剖学教研室

出　　处：《内蒙古医学院学报》2000年第2期94-95,共2页Acta Academiae Medicinae Neimongol

摘　　要：目的 :探索好的肌腱缝合方法。方法 :采用人体废弃新鲜肌腱 ,对三种缝合方法 (改良Kessler法 ,Tsuge法和本文方法 )进行强度和疲劳试验 ,总标本数为 6 0例 ,用Instron430 1拉力测试机进行测量 ,记录结果并进行统计学分析。临床对 10处Ⅱ区屈肌腱断裂进行本文方法的缝合 ,术后在支具保护下进行早期、主动、全程、限量的功能训练。结果 :最大强度 (N) :改良Kessler法 2 9 7± 6 3,Tsuge法 45 9± 4 8,本文方法 5 8 4± 5 4;疲劳试验 (次 ) :改良Kessler法 19± 7,Tsuge法 36± 7,本文方法 5 3± 9;操作时间 (min) :改良Kessler法 5 2± 0 4,Tsuge法 4 3± 0 6 ,本文方法 10 6± 2 8。临床结果 ,未发生肌腱二次断裂 ,完全主动活动 (TAM )平均 2 47°± 13° ,为健侧的 92 %。结论Objective:To explore a good method of suture on flexor tendon. Methods:Using 3 methods (Kessler's technique, Tsuge's method and our method) to suture 60 cases of flexor tendon The strength and fatigue test had been done by Instron4301 instrument. 10 cases of flexor tendon injuries in zone Ⅱ were sutured by our method. Results:The maxiamum intensity(N):Kessler's technique was 29 7±6 3, Tsuge's method was 45 9±4 8, our method was 58 4±5 4. The fatigue test (number):Kessler's technique was 19±7, Tsuge's method was 36±7,our method was 53±9 The operation time(min):Kessler's technique was 5 2±0 4, Tsuge's method was 4 3±0 6,our method was 10 6±2 8. There were no rupture in clinic. According to total active motion(TAM) standard, the average number was 247°±13°,it was 92% contrast with normal. Conclusion:Our method is the strongest suture among three methods.

关 键 词：屈肌腱 缝合方法 手部 

分 类 号：R687.2[医药卫生—骨科学]