本文選題：V-Y肌腱瓣 + 跟腱斷裂　； 參考：《中南大學》2008年碩士論文

【摘要】： 目的:分析腓腸肌腱瓣V-Y成形術治療陳舊性跟腱斷裂的手術方法及臨床療效,并對其相關解剖進行研究,以對臨床手術提供解剖依據(jù)及指導。 方法:1.對我院2003年2月～2007年7月采用腓腸肌腱瓣V-Y成形術治療陳舊性跟腱斷裂患者共13例,回顧性調(diào)查其臨床資料及隨訪,并采用Arner-lindholm評定法分析療效;2.對30例下肢標本,不分男女,對其跟腱周圍軟組織淺靜脈、腓腸神經(jīng)、腓腸肌、比目魚肌及跟腱等進行大體解剖并觀測,再對10例腓腸肌肌腱接近平均長度的下肢標本,每組2例,分別模擬跟腱缺損3、4、5、6、7cm進行V-Y成形術手術。 結果:1.全部病例隨訪7～60月,平均24月。優(yōu)9例(69.2%),良4例(30.7%),無差級。優(yōu)良率100%。2.跟腱缺損在3-6cm范圍內(nèi)V-Y成形術均較好進行,但跟腱缺損達7cm時,手術難度加大。 結論:對于陳舊性跟腱斷裂,腓腸肌腱瓣V-Y成形術是一種方法簡單、療效滿意的手術方法,其主要適用于3-6cm以內(nèi)的跟腱缺損,在6-7cm范圍可謹慎使用,超過7cm的缺損不宜采用此術式。
[Abstract]:Objective: to analyze the operative method and clinical effect of V-Y reconstruction of gastrocnemius tendon flap for the treatment of old Achilles tendon rupture, and to study its related anatomy, so as to provide anatomic basis and guidance for clinical operation. Method 1: 1. From February 2003 to July 2007, 13 patients with old Achilles tendon rupture were treated by V-Y plasty of gastrocnemius tendon flap. The clinical data and follow-up were retrospectively investigated, and the curative effect was analyzed by Arner-lindholm method. The soft tissue superficial vein, sural nerve, gastrocnemius muscle, soleus muscle and Achilles tendon were dissected and observed in 30 cases of lower limbs, regardless of male and female, and 10 cases of lower extremities whose tendons of gastrocnemius were close to average length were studied. Two patients in each group were treated with V-Y angioplasty. The result is 1: 1. All patients were followed up for 7 ~ 60 months (mean 24 months). Excellent 9 cases were 69.2%, good 4 cases were 30.7%, no difference was found. The excellent and good rate is 100. 2. V-Y reconstruction of Achilles tendon defect was performed well in 3-6cm, but it was more difficult when Achilles tendon defect reached 7cm. Conclusion: for the old rupture of Achilles tendon, V-Y reconstruction of gastrocnemius tendon flap is a simple and effective surgical method. It is mainly suitable for Achilles tendon defect within 3-6cm, and can be used carefully in the range of 6-7cm. This procedure should not be used for defects over 7cm.
【學位授予單位】：中南大學
【學位級別】：碩士
【學位授予年份】：2008
【分類號】：R687.2;R322

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