本文選題：微型錨釘 + 伸肌腱斷裂�。� 參考：《中國老年學(xué)雜志》2017年03期

【摘要】：目的 探究微型錨釘修復(fù)老年伸肌腱止點(diǎn)處斷裂與傳統(tǒng)常規(guī)術(shù)式法對(duì)術(shù)后屈伸功能的影響。方法 85例老年手指伸肌腱止點(diǎn)斷裂患者中42例行微型錨釘修復(fù)術(shù)為觀察組,43例行傳統(tǒng)修復(fù)術(shù)為對(duì)照組。比較兩組術(shù)前患指檢查及X線結(jié)果、術(shù)后2、6、12個(gè)月患指總主動(dòng)活動(dòng)度(TAM)評(píng)分,判斷患指伸屈功能的恢復(fù)情況;分析兩組隨訪1年并發(fā)癥的發(fā)生率。結(jié)果 兩組術(shù)前患指位置、指名、外傷及骨結(jié)構(gòu)變化中均無顯著差異;觀察組術(shù)后2、6、12個(gè)月TAM評(píng)分優(yōu)良率均顯著高于對(duì)照組;術(shù)后1年,對(duì)照組并發(fā)癥發(fā)生率顯著高于觀察組(Log-rankχ~2=4.034,P=0.045)。結(jié)論 微型錨釘修復(fù)老年手指伸肌腱止點(diǎn)斷裂術(shù)后,相對(duì)于傳統(tǒng)術(shù)式明顯改善患指屈伸功能,手術(shù)易操作可行且并發(fā)癥少。
[Abstract]:Objective to investigate the effect of mini-anchor nail on the function of flexion and extension after operation. Methods in 85 elderly patients with rupture of extensor tendon of finger, 42 cases were treated with mini-anchor nail repair and 43 cases were treated with traditional repair as control group. The total active activity (TAM) score of the affected fingers at 2 and 12 months after operation was compared between the two groups, and the recovery of the extension and flexion function of the affected fingers was evaluated, and the incidence of complications in the two groups was analyzed after 1 year follow up. Results there was no significant difference between the two groups in the position of the affected finger, the name, the trauma and the changes of bone structure before operation, the excellent and good rates of TAM score in the observation group were significantly higher than those in the control group at 2 and 12 months after operation, and the incidence of complications in the control group was significantly higher than that in the observation group at one year (Log-rank 蠂 ~ (24.034) P _ (0.045). Conclusion compared with the traditional operation, mini-anchor nail can obviously improve the function of finger flexion and extension, and the operation is easy to operate and has fewer complications.
【作者單位】： 南通大學(xué)護(hù)理學(xué)院;南通大學(xué)附屬醫(yī)院手外科;
【分類號(hào)】：R658.1

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