掌长肌腱移植与示指固有伸肌腱转位治疗拇长伸肌腱自发性断裂的疗效对比  

Clinical effect compare between palmaris longus tendon transplantation and index finger proper extensor tendon transposition in treatment of spontaneous rupture of extensor policis longus tendon

作　　者：吴晗 章杰斌 荆珏华 WU Han;ZHANG Jiebin;JING Juehua(Department of Orthopedics,The Second People's Hospital of Anhui,Hefei,Anhui,231000,China)

机构地区：[1]安徽省第二人民医院骨二科(手足显微外科),安徽合肥231000 [2]安徽省第二人民医院骨科,安徽合肥231000

出　　处：《实用手外科杂志》2022年第2期227-229,236,共4页Journal of Practical Hand Surgery

摘　　要：目的 探讨并对比掌长肌腱移植与示指固有伸肌腱转位修复拇长伸肌腱自发性断裂的临床疗效。方法 对2017年2月-2020年12月收治的46例自发性拇长伸肌腱断裂患者,按手术方式分为掌长肌腱移植组与示指固有伸肌腱转位组,术后均予外展背伸位被动支具固定3周,逐步行患指主被动功能训练,定期随访。结果 两组术后均获随访4~8个月,平均5个月。根据TAM评价标准,掌长肌腱移植组与示指固有伸肌腱转位组术后均取得了较为明显的临床疗效,两组在优、良、中数量以及优良率(TAM等级优+良占总比)差异上无统计学意义(P>0.05)。结论 掌长肌腱移植与示指固有伸肌腱转位是治疗自发性拇长伸肌腱断裂的两种有效术式,临床治疗效果满意,疗效上无明显差异。Objective To investigate and compare the clinical effect of repairing spontaneous rupture of extensor pollicis longus tendon by transplantation of palmaris longus(PL) and transposition of index finger proper extensor tendon. Methods From February 2017 to December 2020, 46 patients with spontaneous extensor polunions longus tendon rupture in our department were divided into the transplantation of palmaris longus group and the transposition of index finger proper extensor tendon group according to surgical methods. After operation, all patients were fixed with passive support in extension position for 3weeks, and the active and passive functional exercise of affected finger was gradually performed. Regular follow-up was conducted. Results Patients in both groups were followed up for 4-8 months, with an average of 5 months.?Both the palmar longus tendon transplantation group and the extensor proper tendon transposition group achieved obvious clinical efficacy after surgery.However, there was no statistical significance in excellent, good, medium number and excellent/good rate(excellent + good to total ratio) between two groups(P > 0.05). Conclusion Transplantation of palmaris longus(PL) and transposition of index finger proper extensor tendon are two effective methods for the treatment of spontaneous rupture of extensor pollicis longus tendon, with satisfactory clinical results. There is no significant difference in the efficacy between two methods.

关 键 词：拇长伸肌腱 断裂 示指固有伸肌腱 掌长肌腱 

分 类 号：R658.2[医药卫生—外科学]