CAJ | 학술논문

目的分析动力型手内在肌功能重建手术的临床疗效和影响因素.方法回顾分析18例动力型手内在肌功能重建手术的临床结果(其中改良Bunnell法14例,Brand法4例).术后按疗效功能评定标准和Brand手功能评定标准,得出术后疗效的优良率.结果术后随访时间为2～30个月,18例术后疗效总优良率为33%.结论动力型手内在肌功能重建术的适应证为单纯尺神经损伤者,其他复合性损伤术后疗效较差.同时应注重移位动力肌的选择、止点缝合张力等问题.
목적 분석동력형수내재기공능중건수술적림상료효화영향인소.방법 회고분석18례동력형수내재기공능중건수술적림상결과(기중개량Bunnell법14례,Brand법4례).술후안료효공능평정표준화Brand수공능평정표준,득출술후료효적우량솔.결과 술후수방시간위2～30개월,18례술후료효총우량솔위33%.결론 동력형수내재기공능중건술적괄응증위단순척신경손상자,기타복합성손상술후료효교차.동시응주중이위동력기적선택、지점봉합장력등문제.
Objective To investigate the clinical effect of dynamic functional reeonstruction of hand intrinsic muscles and analyze the factors that affect the outcomes. Methods Retrospective review of 18 cases of dynamic intrinsic function reconstruction was carried out. There were 14 cases treated by modified Bunnell transfer and 4 cases by Brand transfer. Postoperative results were evaluated using previously published standards and Brand hand function criteria to assess the overall satisfaction rate. Results Postoperative follow up ranged from 2 to 30 months. 33% of the 18 eases obtained good results. Conclusion The indication of dynamic functional reconstruction of hand intrinsic muscles is simple ulnar nerve injury. Results for other complex injuries are generally poor. To ensure favorable results it is also very important to select the proper donor for transfer and adjust the tension of insertion properly.