观察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疾病的效果  

Observation on the Effectiveness of Palmaris longus Tendon Grafting and Transposition of the Intrinsic Extensor Tendon of the Indicated Finger in the Treatment of Spontaneous Rupture Disease of the Extensor Digitorum Longus Tendon

作　　者：邢春勋 崔焕涛 刘宗坤 XING Chunxun;CUI Huantao;LIU Zongkun(Department of Surgery,Jiaozhou Hospital of Traditional Chinese Medicine,Qingdao,Shandong Province,266300 China)

机构地区：[1]胶州市中医医院外科,山东青岛266300

出　　处：《系统医学》2024年第7期91-93,101,共4页Systems Medicine

摘　　要：目的比较拇长伸肌腱自发性断裂疾病应用掌长肌腱移植和示指固有伸肌腱转位治疗的效果。方法选取胶州市中医医院于2021年7月—2023年7月收治的60例拇长伸肌腱自发性断裂患者作为研究对象,依照两组患者手术方式的不同分为一组(掌长肌腱移植治疗),二组(示指固有伸肌腱转位治疗),各30例,对治疗效果和手功能指标展开对比。结果一组优良率为90.00%,二组优良率为86.67%,两组患者优良率对比,差异无统计学意义(P>0.05);两组患者手指功能指标(整体功能、日常生活能力、工作表现、自我满意度、疼痛评分)对比,差异无统计学意义(P均>0.05)。结论在治疗拇长伸肌腱自发性断裂患者时,示指固有伸肌腱转位治疗和掌长肌腱移植都为常见术式、有效术式,两种方法取得的临床效果均良好,要结合患者的病情以及个人意愿酌情选择术式。Objective To compare the effect of metacarpal longus tendon transplantation and natural extensor finger tendon transposition in treatment of spontaneous rupture of extensor pollicis longus tendon.Methods 60 patients with spontaneous rupture of extensor thumb tendon admitted to Jiaozhou Hospital of Traditional Chinese Medicine from July 2021 to July 2023 were selected as the research objects.According to the different surgical methods of the two groups,they were divided into group one(palmar longus tendon transplantation treatment)and groups two(indicating the natural extensor tendon transfer treatment),with 30 cases each,to compare the therapeutic effects and finger function index.Results The excellent and good rate of group one was 90.00%,and that of group two was 86.67%,there was no statistically significant difference between the two groups(P>0.05).Comparsion of finger function index,(overall function,daily living ability,work performance,self-satisfaction and pain score)between the two groups of patients,the differences were not statistically significant(all P>0.05).Conclusion In the treatment of patients with spontaneous rupture of extensor pollicis longus tendon,the transfer of indicative extensor tendon and the transplantation of palmar longus tendon are both common and effective operations,and the two methods have achieved good clinical results.The operation should be selected according to the patient's condition and personal wishes.

关 键 词：掌长肌腱移植 示指固有伸肌腱转位治疗 拇长伸肌腱自发性断裂 疗效 

分 类 号：R687[医药卫生—骨科学]