【摘要】 目的观察两种手术方法治疗多端肌腱断裂的效果及并发症。方法将268例多端肌腱断裂患者随机分为A、B两组。A组采用仅做肌腱"7"号粗针粗线"8"字缝合,术后用石膏固定28 d;B组采用"8-0"显微改良Kessler法缝合肌腱,并显微缝合修复腱旁组织、腱系膜、腱纽,术后石膏托外固定25 d。结果 A组发生感染12例,B组发生感染4例;A组发生粘连30例(31.6%),B组12例(6.9%);A组重新断裂6例,B组重新断裂3例,两组比较差异均有统计学意义(P<0.01)。A组优、良、中、差分别为40、29、14、12例,B组优良中差分别为140、18、11、4例,两组比较差异有统计学意义(P<0.05)。结论采用"8-0"显微改良Kessler手术方法治疗多端肌腱断裂并发症少,愈合良好。更多还原

【Abstract】 Objective To observe the effect and complication of two operation methods for multiport tendon rupture.Methods Two hundred and sixty-eight patients with multiport tendon rupture were randomly divided into group A and group B.Group A only used 8 word suturation with number 7 linea aspera,fixed in gypsum for 28 days after operation;Group B sewed tendon up using the method of 8.0 micro improved Kessler,and suture paratenon,mesotendon and vincula tendinum,using plaster slab for external fixation for 25 days.Results Twelve cases of infection in group A,4 cases of infection in group B;30 cases of adhesion occurred in group A,accounting for 31.6%,12 cases in group B,accounting for 6.9%;6 cases of re-fracture in group A,3 cases of re-fracture in group B.There were significant differences between the two groups(P<0.01).Excellent,good,fair and poor quality in group A and group B were 40,29,14,12 cases and 140,18,11,4 cases,respectively.There were significant differences between the two groups. Conclusion "8-0" micro-surgical treatments for improved Kessler multiterminal tendon healed well with few complications.更多还原