兰州大学学报(医学版)2024,Vol.50Issue(9) :30-34.DOI:10.13885/j.issn.1000-2812.2024.09.005

经皮滚式缝合技术与断端缝合技术在治疗腱性锤状指中的疗效对比

A comparison between clinical efficacy of percutaneous rolling suture and direct suture in the treatment of tendinous mallet finger

李守玺 张亮银 吕长举 朱沛 张正鹏 王冰
兰州大学学报(医学版)2024,Vol.50Issue(9) :30-34.DOI:10.13885/j.issn.1000-2812.2024.09.005

经皮滚式缝合技术与断端缝合技术在治疗腱性锤状指中的疗效对比

A comparison between clinical efficacy of percutaneous rolling suture and direct suture in the treatment of tendinous mallet finger

李守玺 1张亮银 1吕长举 1朱沛 1张正鹏 1王冰1
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作者信息

  • 1. 甘肃中医药大学第三附属医院 手足外科,甘肃 白银 730900
  • 折叠

摘要

目的 探讨经皮滚式缝合治疗腱性锤状指的临床疗效.方法 纳入2018年6月—2022年10月就诊于甘肃中医药大学第三附属医院手足外科的110例腱性锤状指患者,采用随机数字表法将患者分组:经皮滚式缝合治疗组和经断端缝合联合克氏针固定治疗组.采用视觉模拟评分法、远指间关节活动度和欠伸角度、Dargan 功能评定体系对比两组患者的疗效.结果 两组患者患指的视觉模拟评分法评分在术后第 3、6 个月均相较于治疗前水平显著降低,差异均有统计学意义(P<0.01);两组患者术后第 3、6个月远指间关节活动度和欠伸角度与治疗前相比差异均有统计学意义(P<0.001),术后两组患者远指间关节活动度和欠伸角度均明显改善.两组患者术后的优良率差异有统计学意义(P=0.039),经皮滚式缝合治疗组优良率高于经断端缝合联合克氏针固定治疗组.结论 经皮滚式缝合修复腱性锤状指手术方法简单易行,能获得较为满意的疗效.

Abstract

Objective To investigate the clinical effect of percutaneous rolling suture on mallet finger tendon.Methods A total of 110 patients with tendinous mallet fingers hospitalized in the Department of Hand and Foot Surgery,The Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine from June 2018 to October 2022 were included.They were divided into two groups according to the random number table method.Both groups were treated with percutaneous rolling suture and transstump-end suture combined with Kirschner wire fixation,respectively.Visual analogue scale range of motion and extension of distal interpha-langeal joint amd Dargan functional evaluation system were used to compare the efficacy of the two surgical methods.Results Visual analogue scale scores of patients in both groups were significantly decreased at 3 and 6 months after surgery compared with the level before treatment,with a statistical significance(P<0.01).The range of motion and extension angle of distal interphalangeal joint in the two at 3 and 6 months after operation were significantly different from those before treatment(P<0.001),and the above two indexes of distal inter-phalangeal joint in the two groups were significantly improved after operation.There was a significant differ-ence in the excellent and good rate between the two(P=0.039),i.e.the excellent and good rate of the experi-mental group was higher than that of the control group.Conclusion The surgical method of repairing tendon mallet finger by percutaneous rolling suture is simple and effective.

关键词

经皮滚式缝合/断端缝合/腱性锤状指/克氏针固定

Key words

percutaneous rolling suture/broken end suture/tendinous mallet finger/Kirschner wire fixation

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基金项目

白银市市级科研基金资助项目(2022-3-8Y)

出版年

2024
兰州大学学报(医学版)
兰州大学

兰州大学学报(医学版)

CSTPCD
影响因子:0.641
ISSN:1000-2812
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