摘要
目的 评价手指近节残端修整肌腱止点重建手术方法对手功能的影响。方法 调查了 1992年～1998年的 2 0例 2～ 5指近节截指者 ,其中肌腱止点重建 10例 ,未重建 10例。术后 6个月将肌腱止点重建组和未重建组在残指的肌力、抗疲劳耐力、稳定感分值及相应前臂周径等方面进行对比研究。结果 肌腱止点重建组在残指与对侧健指的肌力比较、残指疲劳耐力、残手握杠稳定和残手前臂周径比较的各项指标中明显优于未重建组 ,经统计学处理有非常显著性差异 (P<0 .0 1)。结论 处理手指近节截指时 ,应将肌腱止点重建 ,以最大限度地保留残手功能。
Objective\ To evaluate the function of injured hand after repair of finger stump and reconstruction of digit tendon attachment in finger amputation. Methods\ From 1992 to 1998, 20 cases with amputation of the 2nd to the 5th fingers were investigated, of which reconstruction of digit tendon attachment in 10 cases(group A) and routine operation without reconstruction of digit tendon attachment in other 10 cases (group B). After 6 months of operation, the tension test, fatigue test the sense of stability in motion and the perimeter of forearm in injured hand and the corresponding healthy hand were compared.Results\ The differences were remarkable ( P<0.01) between group A and group B in the tension test of injured finger, the fatigue test, the sense of stability in motion and the perimeter of injured arm.Conclusion\ The digit of injured finger should be reconstructed in finger amputation in order to furthest maintain the function of injured hand.
出处
《中国修复重建外科杂志》
CAS
CSCD
2000年第6期348-349,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
截指
肌腱重建
手功能
Finger amputation\ \ Tendon\ \ Reconstruction FunctH
