小切口卵圆钳辅助穿针技术治疗急性跟腱断裂的疗效观察

Efficacy of needle-threading technique assisted by small incision oval forceps for acute Achilles tendon rupture

目的研究小切口卵圆钳辅助穿针技术治疗急性跟腱断裂的临床效果。方法选取70例急性跟腱断裂患者作为研究对象,按照治疗方案不同分为研究组和对照组,各35例。研究组采取小切口卵圆钳辅助穿针技术治疗,对照组采取常规Krackow缝合法治疗。比较两组患者手术相关指标、跟腱再断裂率、并发症发生情况。随访6个月,比较两组患者跟腱功能恢复情况。结果研究组术中出血量较对照组少,切口长度、住院时间较对照组短,并发症发生率较对照组低,随访6个月的Arner-Lindholm功能评分优于对照组(均P<0.05);两组手术时间、跟腱再断裂率比较,差异无统计学意义(均P>0.05)。结论对于急性跟腱断裂患者应用小切口卵圆钳辅助穿针技术治疗切口小、可显著减少术中出血量、缩短住院时间、降低并发症发生率,有利于促进跟腱功能恢复。

Objective To study the clinical effects of needle-threading technique assisted by small incision oval forceps on acute Achilles tendon rupture.Methods Seventy patients with acute Achilles tendon rupture were selected as research subjects,and were divided into study group and control group according to different treatment regimens,with 35 cases in each group.The study group used needle-threading technique for treatment assisted by small incision oval forceps,whereas the control group applied conventional Krackow suture method to treatment.Operation-related indexes,rate of Achilles tendon re-rupture,and incidence of complications were compared between the two groups.After 6 months of follow-up,the recovery of Achilles tendon function was compared between the two groups.Results Compared to the control group,the study group yielded less intraoperative blood loss,shorter incision length and hospital stay,lower incidence rates of complications,and superior six-month follow-up Arner-Lindholm function scores(all P<0.05).There were no statistically significant differences in operation duration or rate of Achilles tendon re-rupture between the two groups(all P>0.05).Conclusion For patients with acute Achilles tendon rupture,needle-threading technique assisted by small incision oval forceps has small incisions and can significantly reduce intraoperative blood loss,shorten hospital stay,decrease incidence rates of complications,and it is conducive to promoting the recovery of Achilles tendon function.