摘要
目的:探讨屈肌滑移术治疗前臂Volkmann缺血性肌挛缩的疗效。方法:将42例前臂Volkmann缺血性肌挛缩病例分为单纯型和复合型,分别采用单纯屈肌滑移术(21例)、屈肌滑移术加神经内松解术(12例)、屈肌滑移术加骨矫形术(7例)治疗。结果:本组42例中,39例获得随访,随访时间12-96月(平均36.5月)。参考手功能评分标准,疗效优31例(73.8%),良6例(14.3%),差2例(4.8%)。优良率为88.1%。结论:屈肌滑移术治疗前臂缺血性肌挛缩疗效可靠,对复合型病例和术后复发病例仍有良好治疗效果。
Objective： To investigate therapeutic effects of flexor muscles sliding operation in treating Volkmann ischemic contracture of forearm.Methods： A total of 42 cases of Volkmann ischemic contracture of forearm,including simple type and compound type,were treated by flexor muscles sliding operation,together with neurolysis and orthopedic surgery if necessary.Results： Of all the 42 cases,39 cases were followed up.The duration of follow-up was 12-96 months with an average of 36.5 months.According to the standard of hand function,the results were excellent in 31 cases（73.8 %）,good in 6 cases（14.3 %）,and poor in 2 cases（4.8 %）.The excellent and good rates were 88.1 %.Conclusion： Flexor muscles sliding operation was an effective management for both simple and compound types of Volkmann ischemic contracture.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2012年第1期110-112,共3页
Medical Journal of Wuhan University
