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前臂区屈肌腱切割伤的类型及治疗
Hits: 2134   Download times: 1413   Received:June 14, 2000  Revised:August 30, 2000  
作者Author单位UnitE-Mail
杨占辉 YANG Zhan-hui 沈铁吉林中心医院,吉林吉林132001 Jilin Central Hospital of Shenyang Railway Bureau,Jilin Jilin,132001  
丁浩 DING Hao 厦门市第二医院海沧分院,福建厦门  
孙艳玲 SUN Yan-ling 沈铁吉林中心医院,吉林吉林132001 Jilin Central Hospital of Shenyang Railway Bureau,Jilin Jilin,132001  
期刊信息:《中国骨伤》2001年14卷,第9期,第526-528页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨前臂区屈肌腱切割伤的类型及特点,以利于规范选择确切的治疗方法。

方法:总结和分析122例前臂区屈肌腱切割伤病人,按受伤时腕指的位置、术中腱组织损伤的部位和程度进行临床分型,根据不同的类型来选择相应合理的治疗方法。

结果:前臂区屈肌腱切割伤按受伤时腕指的位置分为背伸型和屈曲型,按损伤的部位分为腱区、移行区和肌区,按损伤的程度可分为Ⅰ~Ⅳ种类型。用TAM系统评定法作为评定标准,优69例,良45例,可6例,差2例,优良率为93%.

结论:根据不同类型的特点来选择相应合理的治疗方法是获得满意疗效的前提。
[关键词]:腱损伤  前臂损伤  显微外科手术  缝合技术
 
Classification and treatment of incised injury of flexor tendon of the forearm
Abstract:

Objective:To study the classification and its characteristics of incised injury of flexor tendon in forearm,in order to have proper surgical planning for the repair

Methods:122 cases of incised injury of tendons of the forearm were reviewed.The condition was classificated on the basis of carpophalangeal positions during the injury,location of the injury and damage degree of tendons tissues.The surgical methods were selected accordingly.

Results:According to carpophalangeal positions when injury occurred,the disease was classificated into dorsiflexion type and flexion type;according to injury location,it was divided into tendinous,transitional and muscular area;according to degree of damage,Ⅰ~Ⅳ types were classified.The results were evaluated by using TAM system as standards.The excellent results were obtaned in 69 cases,good in 45,fair in 6 and poor in 2 The excellent and good rate was 93%.

Conclusion:Selecting therapeutic methods according to the types of the injury is the key to have good clinical effects.
KEYWORDS:Tendon  injuries  Forearm  Microsurgery  Suture  techniques
 
引用本文,请按以下格式著录参考文献:
中文格式:杨占辉,丁浩,孙艳玲.前臂区屈肌腱切割伤的类型及治疗[J].中国骨伤,2001,14(9):526~528
英文格式:YANG Zhan-hui,DING Hao,SUN Yan-ling.Classification and treatment of incised injury of flexor tendon of the forearm[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(9):526~528
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