【摘要】 目的:探讨屈指浅肌腱近住转移修复Ⅱ区屈肌腱损伤的临床疗效.方法:对Ⅱ区屈肌腱缺损63例共72指,采用近位指屈浅肌腱转移修补肌腱缺损,重建手功能.术后早期保护性被动活动.结果:随访10月～23个月,采用国际手外科肌腱疗效评定法(TAM)评定:优36指,良27指,可7指,差2例,优良率87.5％.结论:对手指Ⅱ区屈肌腱损伤,采用近位屈指肌腱转移修补,并运用显微外科技术修复,结合早期保护性被动活动,可早期恢复手指功能、有效地防止肌腱粘连,取得明显临床效果.更多还原

【Abstract】 Objective: To evaluate the curative effect of repairing the flexor tendons defect in the fibro-osteo sheath by transferring the near flexor digitorum superficial tendons. Methods: 63 Cases (72 fingers) with flexor tendon defect. Zone Ⅱ were repaired by transferring the flexor digitorum superficial tendons to reconstruct hand function. Early protected passive motion postoperatively was advocated. Results: All cases were followed-up for 10 to 23 months. Of them, 36 fingers were excellent,27 fingers good ang 7 fingers fair, 2 fingers bad ,by TAM score, the percentage of excellent and good was 87.5%. Conclusion: Microrepair of flexor tendons defect in Zone Ⅱ by transferring flexor digitorum superficial tendons associated with early protected passive motion could prevent the adhesion of tendons effectively and restore finger function earlier.更多还原