微创针刀治疗肌腱断裂术后功能障碍的临床观察  

作　　者：王波[1] 丁伟[1] 范明君 刘乔勇 

机构地区：[1]杭州市萧山区第一人民医院,311201 [2]杭州市萧山区中医骨伤科医院,311201

出　　处：《浙江临床医学》2020年第11期1586-1587,共2页Zhejiang Clinical Medical Journal

基　　金：杭州市科技计划引导项目(20181228Y82)。

摘　　要：目的观察肌腱断裂修复术后手指功能障碍的微创针刀治疗临床疗效方法2018年1月至2020年5月48例手部肌腱断裂手术治疗患者,术后3〜4周拆除外固定,在指导功能锻炼1周后测量各患者每个手指屈伸活动度(TAM值),取平均值,TAM值<200。22例纳入观察组,予以微创针刀松解肌腱断端粘连,并辅助功能锻炼不愿接受微创针刀松解治疗的26例患者纳入对照组,继续单纯功能锻炼,每周复诊并测量TAM值,比较两组功能改善情况=结果经过2周治疗后,观察组患者TAM值>200。14例,对照组患者TAM值>200。9例观察组组活动度明显优于对照组(P<0.05)结论微创针刀松解治疗肌腱粘连,能明显改善手指功能,疗效优于单纯功能锻炼组,值得临床推广应用。To observe the clinical effect of minimally invasive needle knife in the treatment of finger dysfunction after tendon rupture.Method From January 2018 to May 2020,48 patients with hand tendon rupture were treated surgically in the undergraduate room.The external fixation was removed 3--4 weeks after the operation.The flexion and extension activities of each finger of each patient were measured after 1 week of instructed functional exercise.TAM value(TAM value),take the average value,TAM value<200,22 cases were included in the treatment group,and a minimally invasive needle knife was used to loosen the adhesion of the tendon stump and asist functional exercise.Twenty-six patients who were unwilling to rceive minimally invasive needle-knife lysis treatment were inc luded in the control group.They continued to perform functional exercises,followed by weekly visits and measured TAM values,and stistically analyzed the improvement of functions.Result After two weeks of treatment,14 of the 22 patients in the treatment group had TAM values over 200°.Among the 26 patients with pure functional exercise,the TAM value exeeded 200°in 9 patients.The mobility of the minimally invasive needle knife treatment group was significantly better than that of the control group,P<0.05.Conclusion Minimally invasive needle-knife loosening treatment of tendon adhesions can significantly improve finger function,and the elfect is better than the simple finctional exercise group.It is a treatment that is worthy of clinical application.

关 键 词：肌腱断裂 肌腱粘连 微创治疗 

分 类 号：R73[医药卫生—肿瘤]