手Ⅱ区屈肌腱损伤修复及早期康复治疗体会

Repair and early rehabilitation of Zone-Ⅱ flexor tendon injury of hand

目的探讨手Ⅱ区屈肌腱损伤修复及早期康复方法及疗效。方法对95例（163指）新鲜的Ⅱ区指屈肌腱损伤采用早期显微修复术,术后早期带支具康复功能锻炼。结果 95例均获随访,时间3-12个月。按TAM法评定疗效：优107指,良40指,中12指,差4指,优良率为90.2%。结论早期显微修复Ⅱ区指屈肌腱损伤,联合应用透明质酸钠,配合术后早期带支具功能锻炼,是减少术后肌腱粘连的有效措施。

Objective To investigate the methods and results of repair and early rehabilitation of Zone-Ⅱ flexor tendon injury of hand.Methods 163 fingers of 95 patients of flexor tendon injury in Zone-Ⅱ were treated with early microsrugical repairs and early rehabilitation with the brace after operation.Results All patients were followed up for 3~12 months.According to TAM method,the results were exellent in 107 fingers,good in 40,fair in 12,and poor in 4 fingers.The rate of exellent and good was 90.2%.Conclusions Early microsurgical repair of flexor tendon injury,combined with sodium hyaluronate and early functional exercise with a brace are the effective measures to reduce tendon adhesion after operation.