微创切口结合带线锚钉改良Krackow缝合法治疗闭合性跟腱断裂.docVIP

微创切口结合带线锚钉改良Krackow缝合法治庁闭合性 2018-03-21 10:12:00中国现代医生2018年2期 郭宗慧杨长春付有伟唐寅周海尔庞清江 ［摘耍］戸的 探讨微创切口结合带线锚钉改良Krackow缝合法治疗闭合性跟腱断裂的临床应用 价值。方法选取2010年7月?2017年3月收治的80例闭合性跟腱断裂患者作为本次研究対象， 将其分为A、B两组，各40例。A组采用常规跟腱内侧切口结合Krackow缝合法进行跟腱修补，B 组采用微创切口结合锚钉改ft Krackow缝合法治疗闭合性跟腱断裂，比较两组患者的出血量、切口 长度、手术时间、住院天数、愈合时间及临床疗效。临床疗效均采用Arner-Lindholm评定法进行疗 效评定。结果B组患者术屮出血量(47.77±10.34) mL,切口长度为(4.21±行8) cm,手术时间 为(40.56±11.45)min,住院时间为(8.69±3.18)d,愈合时间(5.28±1.16)周，且总优良率为92.50%, 均优于A组(Pv0.05) o结论 应用微创切口结合带线锚钉改ft Krackow缝合法修复闭合性跟腱断 裂手术切口小，手术时间短，固定可靠，可早期功能锻炼，术后并发症少，值得临床推广应用。 ［关键词］微创；跟腱断裂；带线锚钉；Krackow缝合法；改良术式 ［ ］R687.2 ［ ］B ［文章编1673-9701 (2018) 02-0046-04 ［Abstract］ Objective To investigate the clinical application value of minimally invasive incision combined with wire anchor pin modified Krackow stitch method in the treatment of closed rupture of achilles tendon rupture. Methods 80 patients with closed achilles tendon rupture who were treated from July 2010 to March 2017 were selected as the study objects and divided into two groups including group A (n=40) and group B (n=40) . The group A underwent achilles tendon repair by conventional medial incision of achilles tendon combined with Krackow suture method. The group B was treated by minimally invasive incision combined with anchor nail modified Krackow suture method for closed rupture of achilles tendon rupture. The bleeding volume, incision length, operative time, hospitalization time, healing time and clinical curative effect between the two groups were compared? The clinical curative effect was evaluated by Arner-Lindholm assessment. Results The amount of bleeding during the operation was (47.77±10.34) mL, the incision length was (4.21±1.18) cm, the operation time was (40.56±11.45) min, the length of hospitalization was (8.69±3.18) d, the healing time was(5.28±1.16) weeks, and the total excellent and good rate was 92.50% in group B, all better than those in the group A (P0.05)? Conclusion The application of minimally invasive incision combined with wire