手屈肌腱损伤Ⅰ期显微修复及功能康复97例 临床报告

目的：探讨手屈肌腱损伤Ⅰ期显微修复的方法及疗效。方法：本组97例182条肌腱损伤，其中男59例，女38例；平均年龄32岁（6-65岁）；玻璃割伤22例，刀伤32例，电锯伤29例，挤压伤14例；Ⅰ区12例，Ⅱ区35例，Ⅲ区28例，Ⅳ区8例，V区14例。合并血管神经损伤68例，合并骨折53例，均I期采用改良Kessler法缝接肌腱，术后早期循序渐进康复锻炼。结果：本组97例均获随访，时间3-24个月，按TAM法评定疗效，优48例，良39例，可8例，差2例。结论：修复肌腱损伤应彻底清创，无创操作，具备牢固光滑的肌腱吻合技术及自始至终贯穿功能康复理念。

Microsurgical one-stage repair of hand flexor tendon injuries and rehabilitation:a report of 97 cases

Objective ：To investigate the therapeutic effects of microsurgical one-stage repair of hand flexor tendon injuries. Methods ： Among 97 patients with （ 182 flexor tendons） hand injuries, 59 patients were male and 38 patients were female, ranging in age from 6 to 65 years,with an average of 32 years. Twenty-two patients got injuries by glasses,32 patients got injuries by knife, 29 patients got injuries by saw ,and 14 patients got crush injuries. The tendon injuries in this study consisted of 12 cases of Ⅰ zone,35 cases of Ⅱ zone,28 cases of Ⅲ zone,8 cases of Ⅳ zone and 14 cases of V zone. Sixty-eight patients complicated with injuries of blood vessel and nerve, and 53 patients also had fingers fractures. All the patients were treated with modified Kessler method to repair tendon at one-stage, and were given early rehabilitation step by step. Results： After the treatment,97 patients were followed up from 3 to 24 months. According to TAM standard,48 patients got an excellent result,39 good, 8 fair and 2 bad. Conclusion ： Microsurgical one-stage tendon repair should be applied. Early rehabilitation and microsurgery repair are important for preventing tendon adhesion.