文档介绍：1 屈肌腱损伤手术中针头临时固定肌腱的改进【摘要】目的改进屈肌腱损伤手术中针头临时固定肌腱的方法。方法 52 例患者 67 条屈肌腱损伤修复术中采用针头贯穿伤口近侧皮肤固定肌腱近端、贯穿伤口远侧皮肤固定肌腱远端的方法修复肌腱损伤,术后随访 2~8 个月,观察手部功能恢复情况。结果手术操作简便,易于肌腱修复, 术后 TAM 法评定疗效优良率达 % 。结论该改进方法优点突出,方便实用,值得推广。【关键词】屈肌腱损伤肌腱修复术【 Abstract 】 Objective To improve the tendon temporary fixation with syringe needle treatment for flexor tendon injury. Methods 52 cases (67 fingers) of tenorrhaphy were collected. All cases were treated with the improved method of tendons temporary fixation with syringe needle , . fixing the proximal repairing tendon through the proximal skin of the wound with syringe needle and the distal tendon through the distal skin in tenorrhaphy. All the cases were followed up for 2拟8 months 2 and functional recovery degrees of the fingers were examined. Results The improved method of tendons temporary fixation was convenient to repair tendon injury. The effective rate of functional recovery was %. Conclusion The improved method is simple and practical , so deserves to be promoted. 【 Key words 】 Flexor tendon ; Injury ; Tenorrhaphy 屈肌腱损伤是手外科的多发外伤, 手术中为了方便修复找出的肌腱断端往往采用注射器针头固定, 传统的固定方法一般为将针头于伤口内腱鞘裂口处分别固定肌腱的远近侧断端。笔者采用针头贯穿伤口近侧皮肤固定肌腱近端、贯穿伤口远侧皮肤固定肌腱远端的方法治疗肌腱损伤 52例(67 指、 67 条肌腱) ,手术较传统方法方便、实用。 1 资料和方法 一般资料选择 2004 年7 月~ 2007 年8 月在我院住院手术的 52 例手部屈肌腱离断伤患者,男 34 例,女 18 例, 年龄 15~ 68岁, 平均 32岁, 共修复肌腱 67条。损伤部位: Ⅰ区9指,Ⅱ区 32指,Ⅲ区 17指,Ⅳ区4指,Ⅴ区5指[1]。 3 手术方法均在术前检查后急诊手术, 采用臂丛阻滞麻醉, 上臂近端束