首页|显微外科手术治疗屈指肌腱损伤的效果及对手功能和炎症的影响

显微外科手术治疗屈指肌腱损伤的效果及对手功能和炎症的影响

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目的:观察显微外科手术治疗屈指肌腱损伤的效果及对手功能和炎症的影响。方法:回顾性分析 2020 年 9 月—2023 年 3 月福州市第二医院收治的 98 例屈指肌腱损伤患者的临床资料。根据不同治疗方式将其分为研究组和对照组,各49 例。研究组采用显微外科手术治疗,对照组采用常规修复手术治疗。比较两组术前和术后 2 个月手功能、疼痛程度,指关节活动度及握力力度,术前和术后 3 d炎症因子,临床疗效。结果:术后 2 个月,两组Carroll上肢功能评分升高,视觉模拟评分法(visual analogue score,VAS)评分降低,研究组Carroll上肢功能评分和握力力度均高于对照组,VAS评分低于对照组,差异有统计学意义(P<0。05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0。05)。术后 2 个月,研究组拇指、示指、中指和环指、小指指关节活动度均高于对照组,差异有统计学意义(P<0。05)。术后 3 d,两组C反应蛋白(C-reactive protein,CRP)、降钙素原(procalcitonin,PCT)和白细胞介素-6(interleukin-6,IL-6)水平均降低,研究组PCT、IL-6、CRP水平均低于对照组,差异有统计学意义(P<0。05)。研究组优良率高于对照组,差异有统计学意义(P<0。05)。结论:显微外科手术治疗屈指肌腱损伤效果较好,可有效提升患者手功能和关节活动度,缓解炎症刺激和疼痛程度,改善临床症状和预后表现,术式实用性和安全性较高。
Effects of Microsurgery in the Treatment of Flexor Tendon Injury and Its Influence on Hand Function and Inflammation
Objective:To observe the effects of microsurgery in the treatment of flexor tendon injury and its influence on hand function and inflammation.Method:The clinical data of 98 patients with flexor tendon injury admitted to Fuzhou Second Hospital from September 2020 to March 2023 were retrospectively analyzed.According to different treatment methods,they were divided into study group and control group,49 cases in each group.The study group was treated with microsurgery,while the control group was treated with routine repair surgery.Hand function,pain degree before and 2 months after surgery,knuckle range of motion and grip strength,inflammatory factors preoperative and postoperative 3 d and clinical efficacy were compared between the two groups.Result:Two months after surgery,Carroll's upper limb function score increased and visual analogue score(VAS)decreased in both groups,Carroll's upper limb function score and grip strength in the study group were higher than those in the control group,while VAS score was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Two months after surgery,the knuckle range of motion of thumb,index finger,middle finger,ring finger and little finger in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).On the 3 d after surgery,the levels of C-reactive protein(CRP),procalcitonin(PCT)and interleukin-6(IL-6)were decreased in both groups,and the levels of PCT,IL-6 and CRP in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The excellent and good rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Microsurgery treatment for flexor tendon injury has a good effect,which can effectively improve hand function and joint mobility,alleviate inflammation stimulate and pain degree,improve clinical symptoms and prognosis performance,and has high practicality and safety.

MicrosurgeryRoutine repair surgeryFlexor tendon injuryHand functionInflammatory stimulationJoint range of motion

王志炜、蓝贤峰、吴学军

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福州市第二医院 福建 福州 350007

显微外科手术 常规修复术 屈指肌腱损伤 手功能 炎症刺激 关节活动度

福建省科技创新平台项目

2020Y2014

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(5)
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