摘要
目的:比较Bunnell缝合法和Kessler缝合法在急诊手部肌腱损伤修复中的效果及对手功能恢复的影响,以期为临床选择合适的缝合技术提供参考依据。方法:回顾性分析2022年5月—2024年5月于福州市第二总医院接受急诊手部肌腱损伤治疗的101例患者的临床资料。依据治疗方法不同,将患者分为两组:观察组(n=50,采用Kessler缝合法)和对照组(n=51,采用Bunnell缝合法)。比较两组治疗效果、手功能、肌腱疼痛程度及并发症发生率。结果:观察组的总有效率为98.00%,显著高于对照组的70.59%(P<0.05)。观察组术后12周近端和远端指间关节、掌指关节的活动范围优于对照组(P<0.05)。术后各时间点,观察组的VAS评分低于对照组(P<0.05)。观察组并发症发生率为2.00%,低于对照组的15.69%(P<0.05)。结论:在急诊手部肌腱损伤修复中,Kessler缝合法较Bunnell缝合法的效果好。
Objective:To compare the effects of Bunnell suture method and Kessler suture method in emergency repair of hand tendon injury and their influence on the recovery of hand function,in order to provide a reference basis for the clinical selection of appropriate suture techniques.Method:A retrospective analysis was conducted on the clinical data of 101 patients who received emergency treatment for hand tendon injury in Fuzhou Second General Hospital from May 2022 to May 2024.Based on different treatment methods,the patients were divided into two groups:the observation group(n=50,treated with the Kessler suture method)and the control group(n=51,treated with the Bunnell suture method).The therapeutic effect,hand function,tendon pain degree and complication rate of the two groups were compared.Result:The total effective rate in the observation group was 98.00%,which was significantly higher than 70.59%in the control group(P<0.05).Twelve weeks after the operation,the range of motion of the proximal and distal interphalangeal joints,metacarpophalangeal joint in the observation group were better than those in the control group(P<0.05).The VAS score in the observation group at each time point after the operation were lower than those in the control group(P<0.05).The complication rate in the observation group was 2.00%,which was lower than 15.69%in the control group(P<0.05).Conclusion:In the emergency repair of hand tendon injury,the Kessler suture method has a better effect than the Bunnell suture method.
作者
黄泽茂
赖天
吴学军
缪锟
曾轩威
吴昊
HUANG Zemao;LAI Tian;WU Xuejun;MIAO Kun;ZENG Xuanwei;WU Hao(Department of Orthopedics,Fuzhou Second General Hospital,Fuzhou 350007,China;不详)
出处
《中国医学创新》
2025年第25期19-22,共4页
Medical Innovation of China
基金
福建省创伤骨科急救与康复临床医学研究中心项目(2020Y2014)。
作者简介
通信作者:吴昊。
