实用手外科杂志
實用手外科雜誌
실용수외과잡지
Journal of Practical Hand Surgery
2015年
3期
241-243
,共3页
刘新益%巨积辉%李祥军%赵强%侯瑞兴
劉新益%巨積輝%李祥軍%趙彊%侯瑞興
류신익%거적휘%리상군%조강%후서흥
肌腱%松解%电刺激%治疗仪
肌腱%鬆解%電刺激%治療儀
기건%송해%전자격%치료의
Tendon%Tenolysis%Electrical stimulation%Therapeutic apparatus
目的:报道G 6805神经刺激仪在手指屈肌腱粘连松解术中的应用方法及临床效果。方法2008年3月—2012年3月,对19例34指肌腱粘连患者,按常规方法给予松解,术中采用G 6805神经刺激仪刺激肌肉收缩以判断松解是否彻底。结果术中采用G 6805神经刺激仪刺激后手指总屈曲活动度为210°~250°,平均237°。1例1指术后7 d发生松解肌腱断裂,再次手术修复,其余18例33指伤口均一期愈合,术后48 h内采用TAM系统评定法评定肌腱松解优良率为84.8%(28指)。19例患者获随访3~24个月,平均7个月,手指总的屈曲活动度均有所改善,为165°~260°,平均213°,采用TAM系统评定法,优5例13指,良12例18指,可2例3指,优良率91.2%。结论采用G 6805神经刺激仪可以有效判断肌腱松解的彻底与否,为肌腱松解术中疗效的判断提供一些依据。
目的:報道G 6805神經刺激儀在手指屈肌腱粘連鬆解術中的應用方法及臨床效果。方法2008年3月—2012年3月,對19例34指肌腱粘連患者,按常規方法給予鬆解,術中採用G 6805神經刺激儀刺激肌肉收縮以判斷鬆解是否徹底。結果術中採用G 6805神經刺激儀刺激後手指總屈麯活動度為210°~250°,平均237°。1例1指術後7 d髮生鬆解肌腱斷裂,再次手術脩複,其餘18例33指傷口均一期愈閤,術後48 h內採用TAM繫統評定法評定肌腱鬆解優良率為84.8%(28指)。19例患者穫隨訪3~24箇月,平均7箇月,手指總的屈麯活動度均有所改善,為165°~260°,平均213°,採用TAM繫統評定法,優5例13指,良12例18指,可2例3指,優良率91.2%。結論採用G 6805神經刺激儀可以有效判斷肌腱鬆解的徹底與否,為肌腱鬆解術中療效的判斷提供一些依據。
목적:보도G 6805신경자격의재수지굴기건점련송해술중적응용방법급림상효과。방법2008년3월—2012년3월,대19례34지기건점련환자,안상규방법급여송해,술중채용G 6805신경자격의자격기육수축이판단송해시부철저。결과술중채용G 6805신경자격의자격후수지총굴곡활동도위210°~250°,평균237°。1례1지술후7 d발생송해기건단렬,재차수술수복,기여18례33지상구균일기유합,술후48 h내채용TAM계통평정법평정기건송해우량솔위84.8%(28지)。19례환자획수방3~24개월,평균7개월,수지총적굴곡활동도균유소개선,위165°~260°,평균213°,채용TAM계통평정법,우5례13지,량12례18지,가2례3지,우량솔91.2%。결론채용G 6805신경자격의가이유효판단기건송해적철저여부,위기건송해술중료효적판단제공일사의거。
Objective To report the application and treatment effect of G 6805 nerve stimulator used in tenolysis of digital flexor tendons. Methods From March 2008 to March 2012, range of total active flexor motion was from 85°to 230°(average, 137°) in 19 cases (34 fingers ) of tenolysis of flexor tendons before operation, and range of total passive flexor motion was from 220°to 270°(average, 252°). The patients were treated according to the conventional methods. G6805 nerve stimulator was used to stimulate muscle contraction to determine whether adhesive tendons were released completely during operation. Results Range of total active flexor motion was from 210°to 250°(average, 237°) after G 6805 nerve stimulator was used during operation. After operation, the released tendon of one finger in one case occurred rupture and needed another operation. The reminding wound healed smoothly. According to the standard functional evaluation issued by TAM, the excellent and good rate was 84.8% at 48 hours after operation. 19 patients were followed up for 3 to 24 months (average, 7 months). The function of total active flexor motion was improved obviously and the range was from 165°to 260°(average, 213°). The functional results assessed by TAM method were excellent in 5 cases (13 fingers), good in 12 cases (18 fingers) and fair in 2 ( 3 fingers). The excellent and good rate was 91.2%. Conclusion G 6805 nerve stimulator can effectively determine whether adhesive tendons are released completely. It is beneficial to evaluate treatment effect of tenolysis during operation.