普理灵缝线联合玻璃酸钠对手外伤肌腱损伤后肌腱粘连的临床疗效

The Clinical Curative Effect of Tendon Adhesion after Tendon Injury Prolene Suture Combined with Sodium Hyaluronate Opponent

目的观察普理灵缝线联合玻璃酸钠对手外伤肌腱损伤后肌腱粘连的预防效果。方法急性手部新鲜屈肌腱锐性损伤80例患者,随机分为研究组与对照组各40例,按照诊疗常规给予手术治疗,肌腱吻合法为Kessler法缝合。其中：研究组采用普理灵3-0缝线缝合肌腱后,用玻璃酸钠0.5∽2 m L喷涂于肌腱缝合处的周围。对照组应用普通医用缝线作Kessler法缝合肌腱并缝合腱鞘及所有的裸露腱纤维,用玻璃酸钠0.5∽2 m L喷涂于肌腱缝合处的周围。两组最后都用无菌敷料包扎。观察记录患者治疗期间及治疗后有无肌腱再断裂等不良事件发生。并于术后第8周评定两组患者的手部肌腱总主动活动度。结果两组患者术后切口均一期愈合,无感染及肌腱再次断裂;研究组手部肌腱总主动活动度优于对照组。结论普理灵缝线联合玻璃酸钠经济、方便、有效的方法来预防肌腱粘连,减轻和避免手外伤肌腱损伤后手功能的丧失。

Objective To observe the effect of prevention of tendon adhesion after tendon injury Prolene suture combined with sodium hyaluronate opponent. Methods Acute hand fresh flexor tendon of sharp injury in 80 cases, were randomly divided into study group and control group with 40 cases in each group, routine treatment given in accordance with the operation treatment, tendon anastomosis for Kessler suture. Among them： the study group using Prolene suture after 3-0tendon, surrounded by sodium hyaluronate 0.5-2 mL sprayed on the tendon suture at. Kessler suture tendon and tendon sheath and tendon suture bare fiber all the control group using ordinary medical suture, surrounded by sodium hyaluronate 0.5-2 mL sprayed on the tendon suture at. The two group finally with sterile dressing. Observe and record the patients during and after the treatment with or without tendon re rupture and other adverse events. And eighth weeks after operation the two groups were evaluated in patients with hand tendon total active motion. Results The incision healed patients two groups, no infection and tendon re rupture; study group of hand tendon total active motion was better than that of the control group. Conclusion Prolene suture combined with sodium hyaluronate in economic, convenient, and effective method to prevent tendon adhesion, reduce and avoid the loss of injury of hand tendon injury of hand function.