内窥镜下寻找断伤后回缩的指屈肌腱近端  

Endoscopic retrieval of retractile proximal flexor digital tendons after severance injury

作　　者：沈向前[1] 吴守成[1] 宋建良[1] 宋震坤[1] 李建兵[1] 陈强[1] 王磊[1] 

机构地区：[1]杭州市整形(手外科)医院外一科,杭州310014

出　　处：《中华手外科杂志》2003年第4期233-234,共2页Chinese Journal of Hand Surgery

摘　　要：目的 探讨临床应用内窥镜寻找断伤后回缩的指屈肌腱近端的可行性。方法 2002年4月,对2具尸体应用内窥镜寻找拇长屈肌腱,指深、浅屈肌腱,证实了该术式的解剖依据。临床对Ⅱ区指屈肌腱损伤10例11指,在内窥镜镜视下找到指屈肌腱回缩的近端后拉出至远断端创面内,在直视下进行肌腱修复。结果 在内窥镜镜视下能寻到回缩的指屈肌腱并能将其拉至远断端。结论 临床上,直视下不能找到回缩的指屈肌腱近端时,内窥镜不失为一种寻找回缩指屈肌腱近断端的好方法。Objective To investigate the practicability of retrieving retractile flexor digital tendons after severance using endoscope in clinics. Methods From April 2002, 2 cadaver limbs were used to retrieve flexor pollicis longus tendons, flexor digitorum profundus and superficialis tendons. After the anatomical basis was made, the technique was then successfully used on 10 patients(11 fingers) with injury of flexor digital tendons at zone Ⅱ. Under the observation of endoscope, the retracted proximal flexor digital tendon was retrieved and pulled into the wound. The tendon was repaired under direct vision. Results The retracted flexor digital tendons can be retrieved by endoscope and be pulled out into the distal part. Conclusion When the proximal of retracted flexor digital tendons can not be retrieved under direct vision, endoscope provides an alternative to locate it.

关 键 词：腱损伤 内窥镜 肌腱修复术 臂丛神经阻滞 气压止血带 适应证 手外科 

分 类 号：R687[医药卫生—骨科学]