手部屈肌腱腱鞘移植修复Ⅰ、Ⅱ区伸肌腱缺损的临床应用研究  

作　　者：罗锦辉[1] 景凯 郭振国 李澜萱 黄春丽[1] 谢敏桃 

机构地区：[1]广东省惠州市中心人民医院,广东省惠州市516000

出　　处：《医学前沿》2024年第10期87-88,共2页Frontiers of Medicine

基　　金：归属地:广东省惠州市2022年科技研发计划社会发展领域项目,题目:《手部屈肌腱腱鞘移植修复Ⅰ、Ⅱ区伸肌腱缺损的临床应用研究》编号:220819114571120。

摘　　要：研究内容:手部伸肌腱缺损严重影响患者日常功能,而针对Ⅰ、Ⅱ区伸肌腱缺损,屈肌腱腱鞘移植修复方法展现出独特优势。研究方法:研究采集18至65岁手部伸肌腱缺损患者临床数据,实施屈肌腱腱鞘移植手术,确保创面高度准备与精确缺损测量,并采用适合的非吸收性缝线完成腱鞘一直修复。术后通过VAS疼痛评分、DASH评分系统评估疗效。结果:显示屈肌腱腱鞘移植能够有效促进Ⅰ、Ⅱ区伸肌腱缺损患者的疼痛减轻及功能恢复,超声检验确认腱鞘移植区结构良好,手术区无严重的排异反应或感染。总体来看,本研究为手部屈肌腱腱鞘移植修复Ⅰ、Ⅱ区伸肌腱缺损提供了新的治疗方案,具有较好的临床应用前景。Research content:Hand extensor tendon defects seriously affect patients'daily functions,and for extensor tendon defects in areas I and II,the flexor tendon sheath transplantation repair method demonstrates unique advantages.Research method:Clinical data were collected from patients aged 18 to 65 with extensor tendon defects in the hand,and flexor tendon sheath transplantation surgery was performed to ensure wound height preparation and accurate defect measurement.Suitable non absorbable sutures were used to complete continuous repair of the tendon sheath.Postoperative efficacy was evaluated using VAS pain score and DASH scoring system.Result:The results showed that flexor tendon sheath transplantation can effectively promote pain relief and functional recovery in patients with extensor tendon defects in areas I and II.Ultrasound examination confirmed that the structure of the tendon sheath transplantation area was good,and there were no serious rejection reactions or infections in the surgical area.Overall,this study provides a new treatment plan for repairing extensor tendon defects in areas I and II using flexor tendon sheath transplantation in the hand,and has good clinical application prospects.

关 键 词：屈肌腱腱鞘 腱鞘移植 Ⅰ、Ⅱ区伸肌腱缺损 

分 类 号：R68[医药卫生—骨科学]