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-  2017 

改良缝合法治疗急性闭合性跟腱断裂的疗效分析

DOI: doi:10.7507/1002-1892.201702090

Keywords: 改良缝合法, 急性跟腱断裂, 闭合性损伤

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Abstract:

目的探讨使用改良缝合法治疗急性闭合性跟腱断裂的临床疗效。方法2013 年 12 月—2016 年 12 月，采用改良缝合法治疗 29 例急性闭合性跟腱断裂。男 23 例，女 6 例；年龄 22～45 岁，平均 34 岁。患者均为运动损伤，其中左侧 22 例、右侧 7 例。术前美国足踝外科协会（AOFAS）踝与后足功能评分为（44.6±3.6）分；参照 Amer-Lindholm 疗效评定标准评价均为差。MRI 检查显示跟腱完全断裂。结果手术时间 35～62 min，平均 46 min；术中出血量 7～15 mL，平均 10 mL。术后切口均Ⅰ期愈合，无腓肠神经损伤发生。患者均获随访，随访时间 5～38 个月，平均 18.4 个月。术后 3 个月，AOFAS 踝与后足功能评分为（93.1±4.3）分，与术前比较差异有统计学意义（t=–49.581，P=0.000）。参照 Amer-Lindholm 疗效评定标准评价，获优 24 例、良 5 例，优良率 100%；与术前比较差异有统计学意义（Z=–7.294，P=0.000）。MRI 检查示跟腱连续性完整。随访期间均无跟腱再断裂发生。结论改良缝合法治疗急性闭合性跟腱断裂具有创伤小、再断裂发生率低、腓肠神经损伤风险低及功能恢复较好等优点

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