跟腱断裂修补术后再断裂与感染的发病率、危险因素及临床预后.pdfVIP

·516· 生国鋈麴医堂盘查2Q!Q生!旦笙2窆鲞筮!朔￡地』墨趔!丛鲤：曼望12Q!Q：y垒!：垫：盥Q：』 跟腱断裂修补术后再断裂与感染的发病率、危险因素及临床预后 王成 胡跃林 焦晨 龚熹 郭秦炜 梅宇 北京大学第三医院运动医学研究所(北京100191) 摘要 目的：探讨跟腱断裂修补术后再断裂与感染的发病率、危险因素及临床预后。方法：回顾性研究 业、生活习惯、内科合并症、受伤机制、断裂及手术时间、断裂形态、治疗方式、术后康复等数据，分析总结跟腱 再断裂与感染的发病率、危险因素与临床预后。结果：跟腱断裂行修补手术共计916例，术后发生跟腱再断裂 于运动员或戏剧演员；跟腱感染多见于高龄，合并糖尿病、高脂血症，跟腱炎、局部激素治疗以及断裂后治疗延 略差于再断组。结论：跟腱术后再断裂和感染是跟腱断裂修补术后的两大常见且严重的并发症。从事运动或戏 剧表演职业的患者易于发生跟腱术后再断裂，而高龄、高脂血症、跟腱炎、激素治疗史，及伤后延迟治疗等是跟 腱术后感染的高危险因素。治疗得当，长期(3年以上)临床预后较好；跟腱感染患者预后略差于跟腱再断裂患 者。 关键词 跟腱断裂；术后并发症；再断裂；感染 of TheIncidence，RiskFactorsandClinicalOutcome and Infection ReruptureDeep ofAchillesTendon FollowingOperation Rupture Yuelin，Jiao Xi，Guo Yu WangCheng，Hu Chen，GongQinwei，Mei Institute Third 100191 ofsportsMedicine，PekingUniversityHospital，Beijing，China Abstract To thelncidence．riskfactorsandclinicaIoutcomeof andlnfectionaRer Objectivestudy rerupture Achillestendon From 1994toDecember16 withAchillestendon who repair．MethodsJanuary 2008，9patients rupture undertook were reviewedandtheincidenceaswellastheriskfactorsof were surgicalrepair retrospectively rerupture eleven in Twenty-one infection(1．2％)occurredtwenty—eightpatients． analyzed．Resultsrerupture(2．3％)anddeep Athleteswere to infectionsweremoreoftenseenin whowereolder，hadconcomitant rerupture．Deep patients prone