CAJ | 학술논문

目的评价留置注药管防治手屈指肌腱术后粘连的有效性和安全性.方法 2001年1月～2006年6月间38例儿童屈指肌腱断伤缝接术后鞘内留置注药管,并间隔定时注入利多卡因局麻药镇痛和玻璃酸钠润滑防粘连,术后早期康复锻炼.并设对照组进行对比分析,按术后关节功能和握拳功能恢复状况评价留置注药管的效果.结果术后随访6个月至2年,留置注药组34例46腱,优良率为89.1%.对照组30例44腱,优良率为63.6%,2组比较有统计学意义(P<0.05).结论留置注药管防治儿童手屈指肌腱断伤术后粘连具有显著疗效,且使用方便、安全,值得推广.
목적 평개류치주약관방치수굴지기건술후점련적유효성화안전성.방법 2001년1월～2006년6월간38례인동굴지기건단상봉접술후초내류치주약관,병간격정시주입리다잡인국마약진통화파리산납윤활방점련,술후조기강복단련.병설대조조진행대비분석,안술후관절공능화악권공능회복상황평개류치주약관적효과.결과 술후수방6개월지2년,류치주약조34례46건,우량솔위89.1%.대조조30례44건,우량솔위63.6%,2조비교유통계학의의(P<0.05).결론 류치주약관방치인동수굴지기건단상술후점련구유현저료효,차사용방편、안전,치득추엄.
Objective Evaluate the safety and efficacy of indwelling healer tube in prevention and cure the conglutination after the surgurey of flexor tendon tenosynovitis. Methods During the year of 2001～2006, We have 38 young patients treated with indwelling of healer tube into the local or partial of the recovering muscle and sinew, then anesthetic and sodium hyaluronate were injected in the tube in certain intervals to lubicate and prevent conglutination after the operations of joint of children flexor tendon tenosynovitis. Then let the young patients do some healing training attne earlystage after surgery. Groups of patient were set up to make comparative analysis and evaluate the effectiveness of indwelling of the healer tubes according to the recovery status of the function of arthrosis and grasp after surgery. Results The result is that the rate of choiceness of 46 sinew is 89.1% in 34 cases with indwelling healer tube after the observing period from 6 months to 2 years, whereas the other group of 44 sinew in 30 cases has the rate of choiceness of 63.6%. The comparison has the significant conclusion of statistics (P<0.05). Conclusion It is convenient and safe to use indwelling healer tube to prevent the conglutination after the operation of joint the broken finger muscle and sinew of children. Therefore it is worth popularizing and promoting.