应用显微外科技术修复儿童手指屈指肌腱损伤

目的 减少儿童手指屈指肌腱损伤在处理上的失误，最大限度地恢复患儿手指功能。方法 １９９０年１月～１９９７年１０月收治１２例儿童屈指肌腱损伤，均在显微镜下清创，用３／０或５／０无损伤线，采用改良Ｋｅｓｓｌｅｒ方法缝合，７／０或８／０无损伤线周边内翻缝合，术后进行有控制条件的功能锻炼。结果 患指术后均１期愈合。经过６个月～１年随访，按ＴＡＭ测定法评定，优７例，良４例，可１例，优良率９１．６７％。结论：

REPAIR OF FLEXOR TENDON INJURY IN CHILDREN'S FINGER USING MICROSURGICAL TECHNIQUE

Objective To improve the clinical result of repair on flexor tendon injury, and recover the defected finger function in children as far as possible. Methods From January 1990 to October 1997, 12 cases with flexor tendon injury were repaired by microsurgical technique, sutured by modified Kessler method with 3/0 or 5/0 nontraumatic thread and followed by invering suture of the gap edge with 7/0 or 8/0 nontraumatic thread after debridment. Appropriate functional practice was performed postoperatively. Results All the defected fingers were healed by first intention. Followed up 6 months to 1 year, there was excellent in 7 cases, better in 4 cases, moderate in 1 case and 91.67% in excellent rate according to the TAM standard of International Hand Committee. Conclusion The important measures to improve the clinical result in children's flexor tendon injury are prompt and accurate diagnosis and repair of the injuried tendon by microsurgical technique, and effective postoperative functional practice.