中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
14期
1873-1874
,共2页
陈庠仑%郑淑媛%汪曾荣%黄醒中%马树强%邱华文
陳庠崙%鄭淑媛%汪曾榮%黃醒中%馬樹彊%邱華文
진상륜%정숙원%왕증영%황성중%마수강%구화문
跟腱断裂%手术%框架%微创
跟腱斷裂%手術%框架%微創
근건단렬%수술%광가%미창
Rupture of Achilles tendon%Operation%Frame%Short incision
目的 改进闭合性跟腱断裂的手术治疗方法,减少并发症.方法 跟腱内侧小切口,显露并对合断端,使用克氏针、钢丝自制矩形框架,远离断端经皮固定,稀疏、平顺缝合断端,术后踝关节休息位制动6周后进行功能锻炼.结果 获得随访的39例,采用Arner-Lindholm评定标准,优34例(占87.18%),良5例(12.82%),未发生术后再断裂、皮肤及肌腱坏死、深部感染等并发症.结论 使用矩形框架,微创无张力修复闭合性跟腱断裂,辅以术后休息位制动是一种值得推荐的闭合性跟腱断裂治疗方法.
目的 改進閉閤性跟腱斷裂的手術治療方法,減少併髮癥.方法 跟腱內側小切口,顯露併對閤斷耑,使用剋氏針、鋼絲自製矩形框架,遠離斷耑經皮固定,稀疏、平順縫閤斷耑,術後踝關節休息位製動6週後進行功能鍛煉.結果 穫得隨訪的39例,採用Arner-Lindholm評定標準,優34例(佔87.18%),良5例(12.82%),未髮生術後再斷裂、皮膚及肌腱壞死、深部感染等併髮癥.結論 使用矩形框架,微創無張力脩複閉閤性跟腱斷裂,輔以術後休息位製動是一種值得推薦的閉閤性跟腱斷裂治療方法.
목적 개진폐합성근건단렬적수술치료방법,감소병발증.방법 근건내측소절구,현로병대합단단,사용극씨침、강사자제구형광가,원리단단경피고정,희소、평순봉합단단,술후과관절휴식위제동6주후진행공능단련.결과 획득수방적39례,채용Arner-Lindholm평정표준,우34례(점87.18%),량5례(12.82%),미발생술후재단렬、피부급기건배사、심부감염등병발증.결론 사용구형광가,미창무장력수복폐합성근건단렬,보이술후휴식위제동시일충치득추천적폐합성근건단렬치료방법.
Objective To improve the operation method of rupture of Achilles tendon for decreasing complication. Methods Total 39cases with closed rupture of Achilles tendon were selected in this study. Short incision was made at achilles tendon wall, reveal and anneal the broken ends, using Kirschner wire and steel-wire to make rectangle frame ,intradermic fixation of fracture away from the broken ends, then sutured ends with rarities and smoothing,functional exercise after 6weeks ankle rest position fixation. Results According to the Arner Lindholm evaluation system,the treatment outcome were excellent in 34 cases ,and good in 5cases. No complication including re-rupture skin ,tendon necrosis and infection were found after operation. Conclusion Repaired closed rupture of Achilles tendon with short incision and rectangle frame, assisted with ankle rest position fixation after operation wasa worthy way for treating closed rupture of a chilles tendon.