[1]王众,李骥,廖腾,等.改良Kessler缝合法治疗Ⅱ区指屈肌腱断裂[J].中医正骨,2014,26(11):15-16.
　Wang Zhong*,Li Ji,Liao Teng,et al.The improved Kessler suture procedure for finger flexor tendon rupture in zoneⅡ[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(11):15-16.
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改良Kessler缝合法治疗Ⅱ区指屈肌腱断裂()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年11期
页码:
15-16
栏目:
临床研究
出版日期:
2014-11-30

文章信息/Info

Title:
The improved Kessler suture procedure for finger flexor tendon rupture in zoneⅡ
作者:
王众; 李骥; 廖腾; 吴亚乐
中国人民解放军第98医院,浙江 湖州 313000
Author(s):
Wang Zhong*; Li Ji; Liao Teng; Wu Yale.*
The 98th hospital of PLA,Huzhou 313000,Zhejiang,China
关键词:
手损伤 软组织损伤 伤口缝合技术
Keywords:
Hand injuries;  Soft tissue injuries;  Wound closure techniques
摘要:
目的:观察改良Kessler缝合法治疗Ⅱ区指屈肌腱断裂的临床疗效和安全性。方法:Ⅱ区指屈肌腱断裂患者78例,随机分为2 组,每组39例,分别采用改良Kessler缝合法和常规缝合法缝合断裂肌腱。术后观察2组患者肌腱愈合、患指功能恢复及并发症发 生情况,并对2组的疗效和并发症发生率进行比较。结果:78例均获随访,随访时间3～6个月,依据中华医学会手外科学分会手部肌 腱修复后评定标准评价疗效,改良Kessler缝合组,优25例、良11例、可2例、差1例; 常规缝合组,优15例、良12例、可8例、差4 例。改良Kessler缝合组疗效优于常规缝合组(Z=-2.654,P=0.008)。改良Kessler缝合组创面均一期愈合。常规缝合组,术后并发 浅表感染2例,经换药愈合; 并发深度感染1例,经拆除缝线、行负压封闭引流后愈合; 并发肌腱再断裂2例,改行改良Kessler缝合 后愈合。2组间并发症发生率比较,改良Kessler缝合组小于常规缝合组(P=0.027)。结论:改良Kessler缝合法治疗Ⅱ区指屈肌腱 断裂,有利于肌腱愈合和患指功能恢复,并发症少,疗效优于常规缝合法。
Abstract:
Objective:To observe the clinical curative effects and safety of improved Kessler suture procedure in the treatment of finger flexor tendon rupture in zoneⅡ.Methods:Seventy-eight patients with finger flexor tendon rupture in zoneⅡwere randomly divided into 2 groups,39 case in each group.The patients in the 2 groups were treated with improved Kessler suture procedure and conventional suture procedure respectively for the ruptured tendon.Tendon healing,finger function recovery and complication were observed,and the curative effect and complication incidence were compared between the 2 groups.Results:All patients in the 2 groups were followed up for 3-6 months with a median of 4 months.According to the evaluation criteria for hand tendon repair issued by Hand Surgery Branch of Chinese Medical Association,25 patients obtained an excellent result,11 good,2 fair and 1 poor in the improved group,while 15 patients obtained an excellent result,12 good,8 fair and 4 poor in the conventional group.The curative effect was better in the improved group compared to the conventional group(Z=-2.654,P=0.008).The patients got primary healing in the operative incisions in improved group,while super incisions infection(2),deep incisions infection(1)and tendon re-breakage(1)were found in the conventional group.The complication rates were lower in the improved group compared to the conventional group (P=0.027).Conclusion:In the treatment of finger flexor tendon rupture in zoneⅡ,the improved Kessler suture procedure is conducive to tendon healing and finger functional recovery with few complications,and its curative effect is better than conventional suture procedure.

参考文献/References:

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更新日期/Last Update: 2014-11-30