摘要
目的分析手部屈伸肌腱断裂应用Kessler缝合修补术的治疗效果。方法将项城市中医院2021年1月至2023年6月手部屈伸肌腱断裂患者(84例)作为研究对象,依据区间随机法将其分为对照组与研究组,各42例,对照组行常规缝合术治疗,研究组行Kessler缝合修补术治疗。比较两组治疗有效率、治疗前后手部关节活动范围评估结果[掌指关节(MP),近端指间关节(PIP),远端指间关节(DIP)]、术后并发症发生情况、术后短期疼痛评分。结果研究组治疗有效率高于对照组,分别为97.62%、85.71%,差异具有统计学意义(P<0.05);治疗前两组手部关节活动范围评估结果对比差异无统计学意义(P>0.05),治疗后研究组MP、PIP、DIP活动范围较治疗前均增大,研究组活动范围大于对照组,差异具有统计学意义(P<0.05);研究组术后并发症发生率低于对照组,分别为4.76%、21.63%,差异具有统计学意义(P<0.05);术后第2日、第4日、第6日、第8日术区疼痛评分与对照组相比较低,差异具有统计学意义(P<0.05)。结论对比常规缝合法,手部屈伸肌腱断裂采用Kessler缝合修补术缝合治疗效果更为理想,具有术后并发症少、术后疼痛程度低、术后关节活动范围恢复好等优势,值得应用。
Objective To analyze the therapeutic effect of Kessler suture repair surgery on flexor and extensor tendon rupture of hand.Methods A total of 84 patients with hand flexor and extensor tendon rupture at Xiangcheng Traditional Chinese Medicine Hospital from January 2021 to June 2023 were selected as the study subjects.They were divided into control group and study group according to interval random method,with 42 cases in each group.The control group received routine suture treatment,while the study group received Kessler suture repair treatment.The effectiveness of two treatment groups,the evaluation results of hand joint range of motion before and after treatment[metacarpophalangeal joint(MP),proximal interphalangeal joint(PIP),and distal interphalangeal joint(DIP)],incidence of postoperative complications,and short-term postoperative pain score were compared.Results The effective rate of treatment in the study group was higher than that in the control group,with values of 97.62%and 85.71%,respectively,and the difference was statistically significant(P<0.05);There was no statistically significant difference in the evaluation results of hand joint range of motion between the two groups before treatment(P>0.05).After treatment,the range of motion of MP,PIP,and DIP in the study group increased compared to those before treatment,the range of motion in the study group was larger than that in the control group,and the difference was statistically significant(P<0.05);The incidence of postoperative complications in the study group was lower than that in the control group,with rates of 4.76%and 21.63%,respectively,and the difference was statistically significant(P<0.05);On the 2nd,4th,6th,and 8th day after surgery,the pain score in the surgical area was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with conventional suture methods,Kessler suture repair is more effective for the treatment of hand flexor extensor tendon rupture.It has advantages such as few
作者
王栋峰
WANG Dongfeng(Department of Hand Surgery,Xiangcheng Traditional Chinese Medicine Hospital,Xiangcheng Henan 466200,China)
出处
《临床研究》
2024年第4期65-68,共4页
Clinical Research
关键词
Kessler缝合修补术
手部屈伸肌腱断裂
常规缝合术
疼痛评分
并发症
Kessler suture repair surgery
flexor and extensor tendon rupture of hand
routine suturing surgery
pain score
complications
