微创Bunnell缝合法辅助小切口技术治疗急性闭合性跟腱断裂
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年01期
- 页码:
- 23-26
- 栏目:
- 论著（临床研究）
- 出版日期:
- 2020-01-22
文章信息/Info
- Title:
- Minimally invasive Bunnell suture assisted with small incision technique in the treatment of acute closed rupture of Achilles tendon
- 文章编号:
- 1009-4237(2020)01-0023-04
- Author(s):
- XIA Xiao-yong; ZHU Zhi-guo; YANG Bo; CONG Yun-hai; SHI Zong-xin
- Beijing Liangxiang Hospital,Capital Medical University,Beijing 102401,China
- 关键词:
- 跟腱断裂; 微创; 经皮; Bunnell缝合法; 小切口
- 分类号:
- R 687.2
- DOI:
- 10.3969j.issn.1009-4237.2020.01.006
- 文献标识码:
- A
- 摘要:
- 目的 分析微创Bunnell缝合法辅助小切口技术治疗急性闭合性跟腱断裂的临床疗效及应用价值。方法 回顾性分析2016年1月—2018年1月首都医科大学良乡教学医院应用微创Bunnell缝合法辅助小切口技术治疗急性闭合性跟腱断裂20例,男性16例,女性4例; 年龄22～40岁,平均32.6岁; 术前美国足踝外科协会(AOFAS)踝与后足功能评分(44.6±3.6)分; Amer-Lindholm 疗效评定标准评价均为差。术前超声检查均显示跟腱完全断裂。术中记录手术时间、出血量,术后密切随访,记录AOFAS评分及活动度。结果 手术时间25～40min,平均30.5min; 术中出血量20～40mL,平均26.5mL。术后切口均一期愈合,无感染及腓肠神经损伤。患者均获得随访,随访时间12～18个月,平均15.4个月。术后12个月,AOFAS踝与后足功能评分为(94.1±3.7)分,其中优19例,良1例,优良率100%; Amer-Lindholm 疗效评定标准评价,优16 例、良4例,优良率100%。结论 微创Bunnell缝合法辅助小切口技术治疗急性闭合性跟腱断裂具有手术时间短、创伤小、操作简单及术后恢复良好的优点。
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(收稿日期: 2019-04-03; 修回日期: 2019-07-23)
备注/Memo
- 备注/Memo:
- 通信作者: 史宗新,E-mail:shizongxinor@163.com
