摘要
目的:探讨前臂缺血性肌挛缩症畸形固定期的手术方法及疗效.方法:对19例前臂缺血性肌挛缩症畸形固定期病人行屈肌起点滑移术治疗,其中5例曾于挛缩期行神经、血管松解术,1例于畸形期曾行肌腱延长术.结果:经6个月～10a随访,19例中,优9例、良5例、可4例、差1例,优良率为73.7%.结论:屈肌起点滑移术适用于轻、中型前臂缺血性肌挛缩的治疗,手术损伤较轻,术后可保留各指的独立运动,且对手指屈曲力量的影响最轻.
Objective： To discuss the treatment of ischemic muscle contracture in forearm at the deformity stage. Methods： Sliding operation of flexor muscles was applied to 19 cases of isehemic muscle contracture at the deformity stage, including 5 cases perfomaed neurovessel decompression, and 1 case receiving tendon lengthening procedure. Results： All the patients were followed up for 6 months to 10 years. Among the 19 cases receiving sliding operation of flexor muscles, the results were excellent in 9 cases,good in 5 cases,fair in 4 cases and bad in 1 case.The effective rate was 73.7%. Conclusion：Sliding operation of flexor muscles is an effective way for treatment of slight and medium muscle contractttre. It can retain independent movement of each finger with little influence on the flexion strength.
出处
《解剖与临床》
2005年第3期178-180,共3页
Anatomy and Clinics
关键词
前臂
缺血
肌挛缩
外科手术
Forearm
Ischemia
Muscle contracture
Surgery
