体外冲击波治疗手部肌腱修复术后晚期肌腱粘连的效果

目的 观察体外冲击波治疗对手部肌腱修复术后晚期肌腱粘连的效果。方法 2017年7月至2018年12月在本院就诊的40例屈肌腱修复术后且病程3个月以上存在肌腱粘连的患者,按随机数字表法分成对照组(n = 20)和试验组(n= 20)。两组进行常规康复治疗,试验组增加体外冲击波治疗。于治疗前和治疗2个月后评定握力和手指总的主动活动度(TAM)。结果 治疗前,两组手指TAM和握力无显著性差异(P > 0.05)。治疗后,两组握力和手指TAM均显著升高(| t| > 10.284, P < 0.001),试验组显著高于对照组(| t| > 0.386, P < 0.001)。 结论 体外冲击波治疗有助于改善手部肌腱修复术后晚期存在肌腱粘连患者的手部肌腱滑动性,提高手功能。

Effects of Extracorporeal Shock Wave Therapy on Tendon Adhesion in Late Period after Hand Tendon Repair

Objective To observe the effect of extracorporeal shock wave therapy on tendon adhesion in late period after hand tendon repair.Methods From July, 2017 to December, 2018, 40 patients with tendon adhesion after hand tendon repair more than three months were collected. They were randomly divided into control group(n = 20) and experimental group(n = 20).Two groups received routine therapy, and the experimental group added extracorporeal shock wave therapy. Before and two months after treatment, the total active movement(TAM) of the fingers and the grip strength were messured.Results There was no significant difference in TAM of the fingers and the grip strength before treatment(P > 0.05). After treatment, TAM of the fingers and the grip strength significantly increased(|t| > 10.284, P < 0.001), and were higher in the experimental group than in the control group(t > 0.386, P < 0.001).Conclusion Extracorporeal shock wave therapy could facilitate to improve the tendon slippage and hand function in patients with tendon adhesion after hand tendon repair.