| 张思平 黄希勤 文娟玲 邹书文 吕慧仪.多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的疗效比较[J].实用中西医结合临床,2015,15(7):10-12 |
| 多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的疗效比较 |
| Comparison of Multi Ring Suture Method and Improved Kessler Suture Procedure in the Repair of Finger Flexor Tendon Rupture |
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| DOI： |
| 中文关键词: 指深屈肌腱断裂 多组套圈吻合法 改良Kessler法 修复 |
| 英文关键词: Finger flexor tendon rupture Multi ring suture Improved Kessler suture procedure Repair |
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| 中文摘要: |
| 目的：分析对比应用多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的临床疗效。方法：选取2010年5月~2014年8月我院收治的指深屈肌腱断裂致手指屈曲活动受限的患者120例，随机分为A、B两组，每组60例，A组采用多组套圈吻合法修复，B组采用改良Kessler法修复，观察两组患者术后的临床疗效。结果：全部患者术后随访3~12个月，A组肌腱再次断裂2例，肌腱粘连致手指屈、伸活动受限3例，肌腱粘连不明显、无疼痛、屈、伸活动恢复良好55例；B组肌腱再次断裂14例，肌腱粘连致手指屈、伸活动受限25例，肌腱粘连不明显、无疼痛、屈、伸活动恢复良好21例，治疗后两组疗效比较，差异具有统计学意义，P＜0.05。结论：应用多组套圈吻合法修复指深屈肌腱断裂综合疗效优于改良Kessler法。 |
| 英文摘要: |
| Objective: To compare and analyze the clinical effect of multi ring suture method and improved Kessler suture procedure in the repair of finger flexor tendon rupture. Methods: From May 2010 to August 2014, 120 cases of patients with limited finger flexion activities caused by finger flexor tendon rupture treated in our hospital were selected and randomly divided into A group and B group, each group with 60 cases. The A group was operated by multi ring suture method, and the B group was operated by improved Kessler suture procedure. After the failure of anesthesia after operation, observed and compared the clinical effects of two groups. Results: All patients received follow-up visit after 3~12 months of the operation, in the group A, tendon ruptured again in 2 cases, 3 cases of finger flexion, activity limitation caused by adhesion of tendon, tendon adhesion was not obvious, no pain, flexion and extension activities recovered good in 55 cases; and in the group B, 14 cases of tendon ruptured again, 25 cases of finger flexion, activity limitation caused by adhesion of tendon, tendon adhesion was not obvious, no pain, flexion and extension activities recovered good in 21 cases. There was a statistically significant difference between the two groups, P<0.05. Conclusion: The comprehensive curative effect of the multi ring suture method is better than that of the improved suture procedure in the repair of finger flexor tendon rupture. |
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