多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的临床疗效观察.docVIP

多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的临床疗效观察 　　[摘要] 目的 探讨多组套圈吻合法与改良Kessler法修复指深屈肌腱断裂的临床疗效。 方法 选取2010年12月～2014年12月我院骨伤科的82例指深屈肌腱断裂患者，采用数字单双号标注法将其分为研究组与对照组，每组41例。研究组采用多组套圈吻合法修复，对照组采用改良Kessler法修复，比较两组的临床疗效。 结果 研究组患指屈伸功能恢复良好人数、术后肌腱粘连致手指活动受限人数及术后患指再次断裂人数（37例、3例、1例）均优于对照组（21例、12例、8例）（P中国论文网 /6/view-7216018.htm 　　[关键词] 多组套圈吻合法；改良Kessler法；指深屈肌腱断裂 　　[中图分类号] R686.1 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0088-03 　　Clinical effect observation of multiple sets ring match method and improved Kessler method in repairing finger deep flexor tendon rupture 　　LIN Zhi-hao 　　Department of Bone Traumatology，the Combination of Chinese and Western Hospital of Pengjiang District in Jiangmen City of Guangdong Province，Jiangmen 529000，China 　　[Abstract] Objective To explore the clinical effect of multiple sets ring match method and improved Kessler method in repairing finger deep flexor tendon rupture. Methods 82 patients with finger deep flexor tendon rupture in traumatology department of our hospital from December 2010 to December 2014 were selected.They were divided into study group and control group by digital single and double labeling method，with 41 cases in each group.The study group was used multiple sets ring match method，the control group was used improved Kessler method.The clinical effects in two groups was compared. Results The number of wounded finger flexion function recovery well，postoperative tendon adhesion leaded to restrict finger and postoperative wounded finger fracture again （37 cases，3 cases and 1 case） in study group were better than those of control group （21 cases，12 cases and 8 cases）. The total excellence rate of clinical effect in study group was 90.24%，which was higher than 73.17% of control group，and the difference was statistical significance（P0.05），具有可比性。 　　1.2 纳入及排除标准 　　纳入标准[1-2]：①指深屈肌腱断裂为Ⅱ区与Ⅲ区，均为单指；②手指屈伸功能明显受限；③均及时入院治疗，且经简单包扎处理；④能够耐受相关治疗；⑤谨遵医嘱，依从性较高；⑥自愿参与本研究，并签署知情同意书。排除标准：①未成年或高龄患者；②妊娠或哺乳者；③精神异常或无法正常交流者；④随访困难者；⑤不同意接受本研究者。 　　1.3 方法 　　1.3.1 研究组 采用多组套圈吻合法进行修复治疗