摘要
１９９０年以来，应用显微外科技术，行自体大隐静脉移植重建腱鞘手术１７例，共修复２３根肌腱、鞘管。术后配合早期功能锻炼，经１０个月～４年随访，按ＴＡＭ法评定疗效，除３根肌腱因伤口感染、移植静脉及肌腱外露，形成瘢痕愈合，疗效差外，其余患者全部达优。详细介绍了自体大隐静脉移植重建腱鞘，防止肌腱粘连的手术方法。
In order to prevent tendon adhesion following operations, autogenous great saphenous vein graft was used to reconstruct the tendon sheath. The operation was performed under microsurgical technique. This method was used to repair 23 tendons and 17 tendon sheaths. The early functional excercises were carried out after operation. Follow up from 10 months to 4 years, the prognosis was good except in 3 fingers, in which, the wounds were infected resulting the necrosis of the grafted veins and exposure of the repaired tendons. The details of the operation were introduced. It was emphasized that non traumatic handling of the tissues was essenstial in preventing tendon from adhesion.
出处
《中国修复重建外科杂志》
CAS
CSCD
1997年第1期38-39,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
静脉移植
重建腱鞘
肌腱粘连
手外伤
Vein graft Reconstraction of tendon sheath Tendon adhesion
