摘要
１９８８年１月～１９９４年５月，应用显微外科技术修复手指屈肌腱损伤共７８例１８３条肌腱，早期进行功能锻炼，并经４～６个月的随访，用ＴＡＭ法评定疗效；单纯显微缝合组３６例７８条肌腱修复后得到随访的２６例６３条肌腱，优良率为７６．２％；显微缝合加生物膜包裹吻合口组４２例１０５条肌腱，得到随访的有３２例７７条肌腱，优良率达８９．５％。两组病例疗效经统计学处理有显著差异。疗效欠佳的病例，肌腱损伤主要在手指Ⅱ区，该区皮下组织少，陈旧性损伤者腱床周围瘢痕较多，修复术后容易引起粘连所致。
etween 1988 and 1994, 78 cases (183 tendons) of flexor
tendon injuries of the hand wererepaired by microsurgical techique. The patients were followed
up from 4 to 6 months. The re-sults were assessed according to the grading method of TAM. In
36 cases, 78 tendons were re-paired by microsurgical suture and the excellent-good rate
reached 76. 2 per cent and the other 42cascs,105 tendons were repaired with biological
memberane wrapped arround the anastomoticsite following microsurgical suture, in which. 32
cases. 77 tendons were followed up and the ex-cellent-good rate was 89.5 per cent.The
curative effect between the two groups had significantdifference statistically (P<0.05). Those
cases with a bad results were mainly those injuries oc-curred in Zone Ⅱ which had very poor
soft tissue condition of the palm and thoes old cases havingextensive scar tissue formation
surrounding the tendon bed.
出处
《中国修复重建外科杂志》
CAS
CSCD
1995年第2期97-99,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
屈指肌腱损伤
修复术
生物膜
显微外科手术
: Flexor tendon
Injury
Microsurgical repeir
Bilolgical
membrane.
