CAJ | 학술논문

目的：观察屈指肌腱断裂术后减少肌腱黏连的有效方法。方法对60例患者在手外伤屈肌腱断裂缝合术随机分为两组，观察组为40例，术后行早期功能锻炼+单纯超声波治疗仪治疗；另外20例为对照组，术后采用石膏固定，3周后去除石膏，自行活动患指。结果采用总主动活动度（TAM）测定法，作为疗效评定标准，观察组的优良率为85%，显著高于对照组的65%（P＜0.05）。结论早期采用手法功能锻炼，结合物理治疗，对手外伤屈肌腱锻炼术后的功能恢复效果良好。
목적：관찰굴지기건단렬술후감소기건점련적유효방법。방법대60례환자재수외상굴기건단렬봉합술수궤분위량조，관찰조위40례，술후행조기공능단련+단순초성파치료의치료；령외20례위대조조，술후채용석고고정，3주후거제석고，자행활동환지。결과채용총주동활동도（TAM）측정법，작위료효평정표준，관찰조적우량솔위85%，현저고우대조조적65%（P＜0.05）。결론조기채용수법공능단련，결합물리치료，대수외상굴기건단련술후적공능회복효과량호。
Objective To observe the effective method to reduce tendon adhesion after flexor tendon repair surgery. Methods 60 patients with hand injury underwent flexor tendon repair surgery were randomly divided into 2 groups.The observation group was 40 cases,and treated with postoperative early functional exercise and simple ultrasonic treatment;The other 20 cases were selected as the control group,and fixed with plaster after surgery,exercised injured finger by themselves at the third week after the removal of plaster. Results The total active movement(TAM) assay was selected as evaluation standard of the therapeutic effect.The excellent and good rate in the observation group(85%) was significantly higher than that in the control group(65%),P < 0.05. Conclusion Early manipulation functional exercise combined with physical therapy has good effect for functional recovery of patients with hand injury after flexor tendon repair surgery.