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[1]劉駿逸,段衛(wèi)峰,杜志軍.改良經(jīng)皮縫合法治療急性跟腱斷裂[J].中醫(yī)正骨,2017,29(10):76-77,80.
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改良經(jīng)皮縫合法治療急性跟腱斷裂()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年10期
頁(yè)碼:
76-77,80
欄目:
臨床報(bào)道
出版日期:
2017-10-20

文章信息/Info

作者:
劉駿逸段衛(wèi)峰杜志軍
河南省洛陽(yáng)正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016
關(guān)鍵詞:
跟腱 腱損傷 縫合技術(shù)
摘要:
目的:觀(guān)察改良經(jīng)皮縫合法治療急性跟腱斷裂的臨床療效及安全性。方法:2015年10月至2016年6月,采用改良經(jīng)皮縫合法治療急性跟腱斷裂患者14例,男12例、女2例。年齡19~58歲,中位數(shù)39歲。均為閉合性損傷,左足4例、右足10例。受傷至手術(shù)時(shí)間3~11 d,中位數(shù)5 d。術(shù)后3個(gè)月,觀(guān)察跟腱愈合情況,并測(cè)定患側(cè)踝關(guān)節(jié)背伸及跖屈活動(dòng)度。術(shù)后6個(gè)月,采用美國(guó)Biodex System-3型等速肌力測(cè)試儀測(cè)定30(°)·s-1時(shí)患足跖屈峰力矩。隨訪(fǎng)了解患者回歸工作時(shí)間及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪(fǎng),隨訪(fǎng)時(shí)間6~22個(gè)月,中位數(shù)8.5個(gè)月。術(shù)后3個(gè)月,MRI檢查顯示跟腱均愈合; 踝關(guān)節(jié)背伸活動(dòng)度為5°~30°,中位數(shù)15°; 踝關(guān)節(jié)跖屈活動(dòng)度為30°~50°,中位數(shù)43°。術(shù)后6個(gè)月,患足30(°)·s-1跖屈峰力矩為64~200 Nm,中位數(shù)132 Nm。患者回歸工作的時(shí)間為2~6個(gè)月,中位數(shù)3.5個(gè)月。所有患者均未出現(xiàn)切口感染、腓腸神經(jīng)損傷、跟腱黏連或再斷裂等并發(fā)癥。結(jié)論:改良經(jīng)皮縫合法治療急性跟腱斷裂,可以促進(jìn)跟腱愈合、踝關(guān)節(jié)活動(dòng)度及足部跖屈肌力恢復(fù),且安全性較高,有助于患者早期回歸工作,值得臨床推廣應(yīng)用。

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更新日期/Last Update: 2018-03-10