| 陈军,付伦,方真华.清创修补手术治疗腓骨肌腱撕裂的临床疗效.骨科,2020,11(1): 55-58. |
| 清创修补手术治疗腓骨肌腱撕裂的临床疗效 |
| Clinical effect of debridement and repair in the treatment of peroneal tendon tears |
| 投稿时间：2019-06-17 |
| DOI：10.3969/j.issn.1674-8573.2020.01.011 |
| 中文关键词: 腓骨肌腱 撕裂 肌腱损伤 修补 |
| 英文关键词: Peroneal tendon Tear Tendon injuries Repair |
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| 中文摘要: |
| 目的 探讨采用清创修补的手术方式治疗腓骨肌腱撕裂的临床效果。方法 回顾性分析2014年7月至2016年7月于华中科技大学同济医学院附属武汉普爱医院足踝外科接受手术治疗的腓骨肌腱撕裂病人共21例。其中，男13例，女8例；腓骨短肌腱撕裂14例，腓骨长肌腱撕裂7例；手术方式均为肌腱周围清创和编织修补撕裂的肌腱。收集随访时记录的术后并发症、功能恢复情况，以及疼痛视觉模拟量表（visual analogue scale, VAS）评分、健康调查简表（The MOS 12-item short-form health survey, SF-12）评分、下肢功能量表（lower extremity function scale, LEFS）评分，并将其与术前评分比较，以评估临床疗效。结果 21例病人随访28~36个月，平均30个月。末次随访时，病人的VAS评分由术前的（38.0±10.4）分降低到（10.0±16.1）分，差异有统计学意义（t=23.347，P=0.001）。LEFS评分由术前的（46.2±15.0）分，提高至末次随访时的（70.0±13.2）分，差异有统计学意义（t=-9.812，P=0.003）。手术前后的SF-12生理健康评分和精神健康评分比较，差异均无统计学意义（P均＞0.05）。所有病人均回归正常工作生活，没有经历再次手术。结论 采用肌腱周围清创和编织修补的手术方式治疗腓骨肌腱撕裂，方法简单，临床效果良好，值得临床借鉴。 |
| 英文摘要: |
| Objective To discuss the clinical effect of debridement and repair in the treatment of peroneal tendon tears. Methods From July 2014 to July 2016, a total of 21 patients with peroneal tendon tears treated in Wuhan Puai Hospital were included for the retrospective study. There were 13 males and 8 females; 14 patients presented with an isolated tear of peroneus brevis tendon, and 7 patients with a tear of peroneus longus tendon. They were treated by debridement and primary repair of the peroneal tendon. The postoperative complications, functional recovery, visual analogue scale (VAS), SF-12 Health Survey Scale and Lower Extremity Functional Scale (LEFS) were collected, and the postoperative scores were compared with the preoperative scores to evaluate the clinical effect. Results Twenty-one patients were followed up for 28-36 months, with an average of 30 months. At the last follow-up, the VAS score of patients decreased from (38.0±10.4) before operation to (10.0±16.1) at the last follow-up with the difference being statistically significant (t=23.347, P=0.001). LEFS score increased from (46.2±15.0) before operation to (70.0±13.2) at the last follow-up with the difference being statistically significant (t=-9.812, P=0.003). There was no significant difference in SF-12 physical health score and mental health score before and after operation (P＞0.05). All the patients returned to normal work and life without reoperation. Conclusion The surgical method of debridement around the diseased tendon and repair of torn tendon for the treatment of peroneal tendon tear is simple, effective and worthy of clinical reference. |
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