锤状指的显微外科手术治疗与疗效分析  

Analysis on the treatment of the mallet fingers in using the microsurgical operation

作　　者：毛莉颖[1] 黄东[1] 张惠茹[1] 林浩[1] 黄永军[1] 黄国英[1] 卓日波[1] 

机构地区：[1]广东省第二人民医院创伤显微外科,广东广州510317

出　　处：《实用手外科杂志》2013年第2期132-133,共2页Journal of Practical Hand Surgery

摘　　要：目的探讨应用显微外科技术治疗锤状指。对不同损伤类型的患者采取适宜的手术方式，并分析其疗效。方法对23例不同类型的锤状指患者，按其病情特点在显微镜下分别采用直接断端吻合、止点重建、骨折复位固定、关节融合等手术方式进行治疗。结果术后随访6个月～3年，采用Dargan功能评定法评定其疗效：优9例，良11例，可3例，优良率86．96％。结论应用显微外科技术、选择合适的手术方式和早期正确的功能锻炼是治疗锤状指取得满意疗效的关键。Objective To discuss the treatment of the mallet finger in using the microsurgical means. The mallet fingers which suffered from different kinds of damage were collected and treated by suitable microsurgical means, we collected these data to discuss the efficacy of the methods which were used to treat the damage of the mallet fingers. Methods 23 patients with different kinds of mallet fingers who suffered from finger damage were collected, and microsurgical operations like stump anastomosis, reconstruction of the end of tendons, fixation of the fracture, .joint fusion et al were chosen to treat the damage of the mallet finger according to the type of injury. Results After follow-up for 6 months to 3 years. Dargan functional method was used to evaluate the recovery. 9 patients reached to the excellent level, 11 patients reached to the better level and 3 reached to the good level, the excellent rate was 86.96%. Conclusion The keys in dealing with the injury of the mallet fingers are using the microsurgical operations, the suitable methods in the operation and the functional exercise in the early stage after operations. Patients can get a better recovery.

关 键 词：锤状指 显微外科手术 治疗 

分 类 号：R658.1[医药卫生—外科学]