显微修复对比常规修复治疗指屈肌腱Ⅱ区损伤的临床研究

Clinical study on the treatment of flexor tendon injury in zone Ⅱ by microsurgical repair or routine repair

目的:探讨显微修复对比常规修复治疗指屈肌腱Ⅱ区损伤的临床优势。方法:收治指屈肌腱Ⅱ区损伤患者98例(164条肌腱),随机分为对照组与治疗组各49例(82条肌腱),对照组采用常规修复,治疗组采用显微修复,比较两组的治疗效果。结果:治疗组优良率87.8%,明显高于对照组的62.3%(P<0.05)。结论:显微镜下修复手术治疗指屈肌腱Ⅱ区损伤有助于保护肌腱的血运与营养,可有效预防肌腱粘连,改善患者手部功能。

Objective:To explore the clinical advantage of microsurgical repair on the treatment of flexor tendon injury in zone Ⅱwith routine repair.Methods:98 patients with flexor tendon injury in zone Ⅱ (164 tendons) were selected.They were randomlydivided into the control group and the treatment group with 49 cases in each(82 tendons).Patients in the control group were treatedwith routine repair,while patients in the treatment group were treated with microsurgical repair.We compared the therapeuticeffect of two groups.Results:In the treatment group,the excellent and good rate of 87.8% was significantly higher than 62.3% of thecontrol group(P<0.05).Conclusion:Microsurgical repair on the treatment of flexor tendon injury in zone Ⅱ was helpful to protectthe blood supply and nutrition.It can effectively prevent tendon adhesion,and improve the patient's hand function.