摘要
目的比较锚钉修复法与改良缝合法治疗锤状指的临床疗效。方法 2010年6月-2011年3月,收治33例锤状指患者。其中18例采用锚钉修复法治疗(A组),15例采用Bunnell双针缝线缝合伸肌腱并打结固定于指腹的改良缝合法治疗(B组)。两组患者性别、年龄、病程等一般资料比较,差异均无统计学意义(P>0.05),具有可比性。结果 A、B组手术时间分别为(62.5±3.1)min及(65.0±4.6)min,差异无统计学意义(t=1.85,P=0.07);A组治疗费用为(8 566.2±135.0)元,显著高于B组(5 297.0±183.5)元(t=58.92,P=0.00)。A组2例、B组1例术后发生切口感染;其余患者切口均Ⅰ期愈合。B组切口感染患者锤状指畸形复发。术后两组患者均获随访,随访时间12～21个月。末次随访时,采用Crawford功能评定标准:A组优5例,良10例,可2例,差1例,优良率83.3%;B组优4例,良9例,可1例,差1例,优良率86.7%。两组优良率比较,差异无统计学意义(χ2=0.23,P=0.97)。结论锚钉修复法与改良缝合法均是治疗锤状指简便、有效方法,但与前者相比,改良缝合法费用较低。
Objective To compare the effectiveness between micro-anchor repair and modified pull-out suture inthe treatment of mallet fingers.Methods Between June 2010 and March 2011,33 patients with mallet fingers were treatedby micro-anchor repair method（n=18,group A） and by modified pull-out suture method in which the broken tendons weresutured with double metal needle Bunnell＇s suture and a knot was tied palmarly（n=15,group B）.There was no significantdiff erence in age,gender,and disease duration between 2 groups（P〉0.05）.Results The operation time was（62.5 ± 3.1）minutes in group A and（65.0 ± 4.6） minutes in group B,showing no significant diff erence（t=1.85,P=0.07）.The treatmentexpense in group A [（8 566.2 ± 135.0） yuan] was significantly higher than that in group B [（5 297.0 ± 183.5） yuan]（t=58.92,P=0.00）.Incision infection occurred in 2 cases of group A and 1 case of group B;the other patients obtained healing of incisionby first intention.Relapsed mallet finger was observed in 1 case of group B.All patients in 2 groups were followed up 12-21months.According to the Crawford functional assessment system,the results were excellent in 5 cases,good in 10 cases,fair in2 cases,and poor in 1 case at the last follow-up with an excellent and good rate of 83.3% in group A;the results were excellentin 4 cases,good in 9 cases,fair in 1 case,and poor in 1 case with an excellent and good rate of 86.7% in group B.There was nosignificant diff erence in the excellent and good rate between 2 groups（χ2=0.23,P=0.97）.Conclusion Both micro-anchorrepair and modified pull-out suture are simple and effective methods in the treatment of mallet finger.But compared withmicro-anchor repair,pull-out suture has lower expense.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2012年第9期1077-1080,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
锤状指
微型锚钉
改良缝合
功能重建
Mallet finger Micro-anchor Modified pull-out suture Functional reconstruction
