摘要
目的 减少儿童手指屈指肌腱损伤在处理上的失误,最大限度地恢复患儿手指功能。方法1990 年1 月1997 年10 月收治12 例儿童屈指肌腱损伤,均在显微镜下清创,用3/0 或5/0 无损伤线,采用改良Kessler 方法缝合,7/0 或8/0 无损伤线周边内翻缝合,术后进行有控制条件的功能锻炼。结果 患指术后均Ⅰ期愈合。经过6 个月1 年随访,按TAM 测定法评定,优7 例,良4 例,可1 例,优良率91-67% 。结论 及时准确诊断,无创技术、显微修复及术后有效的功能锻炼。
Objective To improve the clinical result of repair on flexor tendon injury, and recover the defected finger function in children as far as possible. Methods From January 1990 to October 1997, 12 cases with flexor tendon injury were repaired by microsurgical technique, sutured by modified Kessler method with 3/0 or 5/0 nontraumatic thread and followed by invering suture of the gap edge with 7/0 or 8/0 nontraumatic thread after debridment. Appropriate functional practice was performed postoperatively. Results All the defected fingers were healed by first intention. Followed up 6 months to 1 year, there was excellent in 7 cases, better in 4 cases, moderate in 1 case and 91.67% in excellent rate according to the TAM standard of International Hand Committee. Conclusion The important measures to improve the clinical result in children's flexor tendon injury are prompt and accurate diagnosis and repair of the injuried tendon by microsurgical technique, and effective postoperative functional practice.
出处
《中国修复重建外科杂志》
CAS
CSCD
2000年第1期31-32,共2页
Chinese Journal of Reparative and Reconstructive Surgery
