【摘要】 目的　观察扩张皮瓣的纤维包膜包绕缝合预防屈肌腱粘连的临床效果。方法　在手重度烧伤后畸形的治疗中 ,完全切除手掌瘢痕和肌腱附近的瘢痕组织 ,彻底松解肌键粘连 ,应用扩张皮瓣的纤维包膜包绕缝合手掌Ⅲ区的屈肌腱 ,以预防术后屈肌腱的粘连。结果　从 1999～ 2 0 0 1年 ,手术 6例 11只手共 33指 ,随访 1～ 3年 ,按TAM评定方法 ,33指中 18指优 ,11指良 ,3指可 ,1指差 ,总优良率为 87 88%。结论　纤维包膜是阻止和预防术后肌键粘连的理想材料。更多还原

【Abstract】 Objective To observe the effect of fibrous capsule to prevent the flexor tendon adhesion. Methods Six burn patients with 33 digits were treated with the fibrous capsule of the expanded flaps which was used to wrap the exposed flexor tendon in zone Ⅲ in order to prevent the flexor tendon adhesion. Results From 1999～2001,all of the patients were followed up to 1～3 years. The functions,assessed with the TAM method,were excellent in 18 digits,fair in three and poor in one.The excellent and good rate was 87.88%. Conclusion The fibrous capsule could be used to prevent or reduce the tendon adhesion. ;更多还原