| 夹心法松解手部皮瓣移植后肌腱粘连 |
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Received:March 08, 2004
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| 期刊信息：《中国骨伤》2005年18卷，第1期，第8-9页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:介绍一种手部皮瓣移植后Ⅱ期肌腱粘连松解的新术式。
方法:将手部移植皮瓣的皮下组织分割成两层,深层的筋膜瓣置于松解后的肌腱下方,重建肌腱的滑动床,表层的皮瓣去脂后覆盖于肌腱上方,术后辅以系统康复训练。临床共治疗18例34条肌腱。
结果:3例皮瓣术后有少许边缘坏死,其余皮瓣术后血供不受影响,术后随访3个月,松解肌腱的手指TAM值为(171±93)°,功能优良率73.2%,与术前TAM(125±78)°相比,差异有显著性(P<001)。
结论:夹心法松解肌腱粘连充分利用皮瓣携带皮下脂肪润滑的特性,为松解后的肌腱提供了良好的滑动环境,而且可以与皮瓣整形术同时进行,是手部皮瓣移植后Ⅱ期肌腱松解的良好方法。 |
| [关键词]:肌腱粘连 皮瓣移植 肌腱松解术 外科皮瓣 |
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| sion of tendon caused by flap graft of hand |
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Abstract:
Objective:To introduce the new method for brisement of adhesion of tendon caused by flap graft of hand and to evaluate the clinical outcome of this operative procedure.
Methods:Eighteen patients with transplanted flaps (34 tendons of the hand) were treated with the new technique.The subcutaneous tissues of transplanted flap were incised and divided into two layers,the fascial flaps in deep layer put on lower tendon part.Sliding bed of the tendon was rebuilt and upper tendon part was covered with surface degreasant flaps.Helping with systemic rehabilitation training after operation.
Results::A little skin necrosis occurred in 3 patients.3 months after operation,the averaged total active motion (TAM) of fingers reached (171±93)°,compared with that of preoperative (125±78)°,there was statistically significant difference (P<0.01),the excellent and good rate was 73.2%.
Conclusion:The operative technique utilize the specificity of subcutaneous fat,it not only provided excellent sliding enviroment for tendon after brisement ,but also can make plasty of flap at the same time.It is a good method for brisement of adhesion of tendon caused by flap graft of hand. |
| KEYWORDS:Adhesion of tendon Flap graft Myotendolysis Surgical flap |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘传法,康庆林.夹心法松解手部皮瓣移植后肌腱粘连[J].中国骨伤,2005,18(1):8~9 |
| 英文格式: | LIU Chuan-fa,KANG Qing-lin.sion of tendon caused by flap graft of hand[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(1):8~9 |
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