多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的临床疗效观察  

Clinical effect observation of multiple sets ring match method and improved Kessler method in repairing finger deep flexor tendon rupture

作　　者：林志浩 

机构地区：[1]广东省江门市蓬江区中西结合医院骨伤科,广东江门529000

出　　处：《中国当代医药》2016年第4期88-90,共3页China Modern Medicine

摘　　要：目的探讨多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的临床疗效。方法选取2010年12月~2014年12月我院骨伤科的82例指深屈肌腱断裂患者,采用数字单双号标注法将其分为研究组与对照组,每组41例。研究组采用多组套圈吻合法修复,对照组采用改良Kessler法修复,比较两组的临床疗效。结果研究组患指屈伸功能恢复良好人数、术后肌腱粘连致手指活动受限人数及术后患指再次断裂人数（37例、3例、1例）均优于对照组（21例、12例、8例）（P〈0.05）。研究组临床疗效的总优良率为90.24%,高于对照组的73.17%,差异有统计学意义（P〈0.05）。结论多组套圈吻合法修复指深屈肌腱断裂的效果理想,安全可靠,值得推广。Objective To explore the clinical effect of multiple sets ring match method and improved Kessler method in repairing finger deep flexor tendon rupture. Methods 82 patients with finger deep flexor tendon rupture in traumatology department of our hospital from December 2010 to December 2014 were selected.They were divided into study group and control group by digital single and double labeling method,with 41 cases in each group.The study group was used multiple sets ring match method,the control group was used improved Kessler method.The clinical effects in two groups was compared. Results The number of wounded finger flexion function recovery well,postoperative tendon adhesion leaded to restrict finger and postoperative wounded finger fracture again（37 cases,3 cases and 1 case） in study group were better than those of control group（21 cases,12 cases and 8 cases）. The total excellence rate of clinical effect in study group was 90.24%,which was higher than 73.17% of control group,and the difference was statistical significance（P〈0.05）. Conclusion Multiple sets ring match method has a ideal effect in repairing finger deep flexor tendon rupture.It is safe and reliable and worth to popularize.

关 键 词：多组套圈吻合法 改良KESSLER法 指深屈肌腱断裂 

分 类 号：R686.1[医药卫生—骨科学]