改良肌腱缝合技术预防屈肌腱粘连  

Clinical application of modified tendon suture technique for prevention of flexor tendon adhesion

作　　者：安彪 张哲敏[1] 段文旭[1] 王立[1] 吕莉[1] 邵新中[1] 

机构地区：[1]河北医科大学第三医院手外科,石家庄050051

出　　处：《中华手外科杂志》2017年第6期430-432,共3页Chinese Journal of Hand Surgery

摘　　要：目的介绍一种改良屈肌腱缝合技术ZM法，总结ZM法结合3-0Ticron聚酯缝合线修复屈肌腱损伤术后通过早期功能锻炼预防肌腱粘连的临床效果。方法自2011年6月至2016年10月，对33例41指I、Ⅱ、Ⅲ区指屈肌腱损伤患者，使用ZM法结合3-0Ticron聚酯缝线修复损伤的指屈肌腱，术后在医师指导下早期进行保护性主被动功能锻炼预防肌腱粘连。结果术后随访33例41指，时间为3-6个月，平均4个月。无肌腱再次断裂，无二次松解手术，患者对患指屈伸功能恢复满意。根据TAM标准评定，术后1个月优良率47．2％，2个月优良率98．4％，3个月优良率100％。结论3-0Ticron聚酯缝线结合ZM法修复指屈肌腱术后早期主动功能锻炼安全可靠，是修复屈肌腱断裂的优选方法之一。Objective To introduce a modified tendon suture technique, ZM method, and to summarize the clinical effects of ZM method with 3-0 Ticron polyester suture for repair of flexor tendon injury and prevention of flexor tendon adhesion by early fimctional exercise. Methods From June 2011 to October 2016, 33 cases （41 fingers） of flexor tendon injury in I , II and IlI zone were repaired using ZM method with 3-0 Ticron polyester suture. After the operation, the early protection fimctional exercise was performed under the guidance of doctors to prevent flexor tendon adhesion. Results All the patients were follow-up for 3 to 6 months with an average of 4 months. There was no tendon rupture and re-release operation. The patients were satisfied with the flexion and extension of the affected fingers. According to the total active motion （TAM） standard, the excellent and good rate was 47.2% at the first month, 98.4% at the second month and 100% at the third month after operation, Conelusion ZM method with 3-0 Ticron polyester suture for repair of flexor tendon and early active exercise after surgery can achieve good clinical efficacy. It is a safe and reliable method for repair of flexor tendon ruoture.

关 键 词：腱损伤 缝合技术 3-0 Tieron聚酯缝线 早期功能锻炼 

分 类 号：R687.2[医药卫生—骨科学]