腱缝合后鞘内置入法治疗屈曲型Ⅱ区屈肌腱损伤的临床研究

Clinical Research on Intra-sheath Embedding of the Suturing Site Tenorrhaphy Treated Flexor Tendon Injury in Zone Ⅱ

目的比较腱缝合后鞘内置入法与常用的腱鞘切开肌腱缝合法在治疗Ⅱ区屈肌腱损伤的疗效。方法共选取80例单指肌腱断裂病例,随机分成2组,分别用以上2种肌腱缝合方法治疗屈曲型Ⅱ区屈肌腱锐器切割所致断裂40例,术后指导患者进行功能练习。结果术后随访6个月~1年,平均10个月,以TAM法评价2组预后情况,其中鞘内置入法35例优,2例良,2例中,1例差,优良率为92.5%,鞘切开缝合法25例优,5例良,其余10例为中差,优良率为75%。结论Ⅱ区屈肌腱损伤后应用腱缝合后鞘内置入法,疗效优于常用的鞘切开肌腱缝合法,腱缝合后鞘内置入法是治疗Ⅱ区屈肌腱损伤的理想的方法。

Objective To compare curative effect on flexor tendon injury in zone Hwith two different methods. One was intrasheath embedding of the suturing site tenorrhaphy, the other was cutting sheath and suturing tendon tenorrhaphy. Methods 80 cases were divided into two groups randomly, each group was 40 cases. After operation ,we guide them to do exercises. Results These patients were followed up from 6 months to 1 year for an average l0 months. Assessed by TAM standard,the excellent and good rate in group A was 92.5 %, group B was 75 %. Conclusions Intra-sheath embedding of the suturing site tenorrhaphy is an ideal method on treating flexor tendon injury in zone Ⅱ of flexion type. It is better than the tenorrhaphy we used to do.