术优康预防屈肌腱损伤术后粘连的临床研究

Clinical study on the role of Shuyoukang in the prevention of postoperative flexor tendon adhesion formation

目的观察术优康对预防屈肌腱损伤的术后粘连的疗效。方法 49例屈肌腱损伤者,随机分为治疗组(术优康组)和对照组,实验组26例51条肌腱,对照组23例46条肌腱。两组均早期行改良kessler修复,治疗组肌腱修复后应用术优康于肌腱吻合周围处,对照组不使用术优康。结果两组经平均1年3个月随访后,采用肌腱总活动度系统(TAM)评价。治疗组TAM优良率为88.2%,明显高于对照组TAM优良率65.2%(χ2=8.512,P=0.037)。结论对于屈肌腱损伤后应用术优康,具有预防术后肌腱粘连,增加肌腱滑动度的作用。

Objective To observe the curative effects of Shuyoukang on preventing the postoperative adhesion after the flexor tendon surgery. Methods 49 flexor tendon impaired patients were divided into two groups randomly： 26 cases of 51 tendons in treatment group and 23 cases of 46 tendons in control group. Both groups had received the modified Kessler repair in advance. Cases in the treatment group were administrated with Shuyoukang surrounded anastomotic broken ends of tendon,while the others in the control group were administrated without any drug or special treatment in the local injuries. Results After one year and three month follow- up study,the recovery rate was88. 2% in treatment group and 62. 5% in control group with statistically significant difference（ χ2= 8. 512,P = 0.037）. Conclusion The application of Shuyoukang is of significance in preventing the post operation adhesion and increasing some slide of the tendon after the flexor tendon surgery.