手腕部肌腱的闭合性损伤

报道２６例手腕部闭合性肌腱损伤的诊治经验。２６例中，由骨折脱位引起者１１例，类风湿性滑膜炎引起者８例，腱鞘滑膜结核引起者５例，其它原因２例。采用肌腱移位术治疗２３例，游离肌腱移植术３例。经６个月～４年随访，手握力和手指主、被动屈伸功能恢复正常或接近正常者１９例，达健侧功能７５％者５例，达健侧功能５０％者２例。有４例术后再次行肌腱松解术，１例修复术后再断裂，再次手术修复。总优良率为９２％。认为，对手腕部肌腱闭合性损伤应早期诊断，及时手术治疗，重建功能

CLOSE INJURY OF THE TENDON AT WRIST

Because of the complicated causes and variable clinical signs, closed injury of tendons at wrist is difficult to diagnosis and treat. Twenty six cases of tendon ruptur were reported. Among them, 11 cases were caused by bone fracture or dislocation, 8 cases were caused by rheumatoid synovitis, 5 cases were caused by synovial tuberculosis, and 2 cases caused by other. The pathogenesis and clinical signs were analyzed. Twenty three cases were treated by tendon transfer and 3 cases were treated by tendon transplantation. By average follow up of 16 months (ranged 6 months to 4 yeas), the results were as follows: the clip strength and both active and positive motion of fingers were restored in 19 caese, 75% of those were restored in 7 cases and 50% of those were restored in 2 cases. It was suggested that diagnosis, treatment and function rehabilitation should be carried out early, and tendon transfer or tendon transplatation were the method on priority.