屈指肌腱Ⅱ区与Ⅴ区修复术后早期主动运动方案的疗效对比  

Early rehabilitation after flexor tendon repair:comparison of results following injuries in zone 2 and zone 5

作　　者：黄琴[1] 刘莉[1] 陈燕花[2] 毛朝琴[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院康复科,武汉430022 [2]华中科技大学同济医学院附属协和医院手外科,武汉430022

出　　处：《中国康复》2014年第2期96-98,共3页Chinese Journal of Rehabilitation

摘　　要：目的:观察Ⅱ区与V区屈肌腱修复术后早期康复治疗的疗效。方法:将38例屈肌腱修复术后患者依损伤部位分Ⅱ区组20例(46指)和V区组18例(44指)。2组患者术后均采用背侧石膏托固定、物理因子疗法、运动疗法等治疗。术后12周时进行总主动活动范围测量法(TAM)和上肢功能指数(UEFI)评定。结果:治疗12周后,V区组TAM优良率及UEFI评分均明显高于Ⅱ区组(P<0.05)。V区组指间关节伸直缺失明显低于Ⅱ区组(P<0.01)。结论:屈肌腱修复术后早期采用主动运动方案安全有效,而且V区损伤后手指活动度和日常生活能力的恢复均优于Ⅱ区。Objective ：To prospectively study the role of early rehabilitation after flexor tendon repairs in zone 2 and zone 5 .Methods ：The primary repair technique was used to repair 90 digits in 38 patients with flexor tendon injuries . There were 20 and 18 injuries in zone 2 and zone 5 respectively .Early rehabilitation of the repaired digit ,which com-bined with dorsal plaster slab ,electrotherapy and physical therapy ,was commenced after surgery .Range of move-ment and functional outcome were monitored and recovery from injury in zone 2 was compared with injury in zone 5 . Results ：After treatment for 12 weeks ,the total active motion （TAM ） scoring system of the American Society and the upper extremity functional index （UEFI） were measured .According to the TAM score and UEFI ,the anatomic improvement and functional outcome in zone 5 was significantly better than in zone 2 （P〈0 .05） .The residual exten-sion deficit of the fingers in zone 5 was significantly lower than in zone 2 （P〈0 .01） .Conclusion：Early rehabilitation following flexor tendon repair provides comparable clinical results between zone 5 and zone 2 and recovery of TAM and ADL in patients with zone-5 injury was better than those with zone-2 injury .

关 键 词：主动运动 屈肌腱修复 早期康复 

分 类 号：R687.2[医药卫生—骨科学]