Application of microsurgery and conventional surgery in the repair of tendon rupture and the effect of postoperative adhesion prevention
10.3760/cma.j.issn.1008?6315.2018.02.014
- VernacularTitle:显微手术与常规手术在肌腱断裂修复中的应用及预防术后粘连的效果
- Author:
Lanxiang HU
1
;
Hualong YU
;
Yadong LIU
;
Hu CHEN
Author Information
1. 湖北医药学院附属东风医院手足外科
- Keywords:
Microsurgery;
Finger Tendon Rupture;
Tendon Rupture;
Tendon Adhesion;
Upper Limb Function
- From:
Clinical Medicine of China
2018;34(2):155-158
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of microsurgery and conventional surgery in the repair of tendon rupture and the effect of postoperative adhesion prevention. Methods From February 2011 to December 2016,seventy?two patients with finger tendon rupture treated in Dongfeng Hospital Affiliated to Hubei Medical College were selected as the research objectand then randomly divided into the observation group and the control group,36 cases in each group. The observation group was treated with microsurgery treatment,the control group was treated with the traditional surgical treatment to record postoperative prognosis and adhesion of the two groups. Results At 12 weeks after operation,the recovery rate of tendon in the observation group and the control group were 94. 4％ (34/36)and 75％(27/36),respectively,the data in the observation group was significantly higher than that in the control group (χ2=5. 552, P<0. 05 ) . At the same time, Carroll score of upper limb function in the observation group at 4 weeks and 12 weeks after the surgery were (85. 55±8. 29) and (102. 49 ±10.82),significantly higher than those in the control group ( (74.25±8.53)％,(91.44±12.49) ),the differences were statistically significant (t=6. 948,5. 323,P<0. 05). At 12 weeks after operation,the adhesion rate of tendon in the observation group was 2. 8％ ( 1/36 ) , significantly lower than that of the control group ( 16. 7％ ( 6/36) ) , ( P<0. 05 ) . Conclusion Compares with the conventional surgery, microsurgery in the treatment of tendon rupture repair can promote the repair of tendon tissue,improve the upper limb function,and reduce the occurrence of postoperative tendon adhesion.
