该论文来源于网络,本站转载的论文均是优质论文,供学习和研究使用,文中立场与本网站无关,版权和著作权归原作者所有,如有不愿意被转载的情况,请通知我们删除已转载的信息,如果需要分享,请保留本段说明。 [摘要] 目的 分析使用腓腸肌腱瓣翻转加固术治疗急性闭合性跟腱断裂的临床效果,比较其与改良Kessler缝合术治疗效果。 方法 从2010年4月~2014年4月在青海省人民医院骨科四病区接受诊治的急性闭合性跟腱断裂患者中选取50例作为研究对象,依据治疗方法不同将患者分为试验组和对照组,每组25例。试验组使用腓肠肌腱瓣翻转加固术进行治疗;而对照组则使用改良Kessler缝合术进行治疗,观察两组患者治疗后的临床症状,比较两组治疗后临床效果。 结果 治疗后,%,明显低于试验组(%),差异有统计学意义(P < );两组患者治疗1、5、10个月后的跟腱活动状况评分均高于治疗前,差异有统计学意义(P < );且试验组治疗1、5、10个月后的跟腱活动状况评分均高于对照组,差异有统计学意义(P < )。 结论 使用腓肠肌腱瓣翻转加固术辅助治疗该疾病的临床效果较好,患者术中出血量较少,患者术后恢复情况较好,该治疗方法较改良Kessler缝合术安全。 [关键词] 腓肠肌腱瓣翻转加固术;改良Kessler缝合术;急性闭合性跟腱断裂;临床效果 [中图分类号] R686 [文献标识码] A [文章编号] 1673-7210(2019)04(c)-0066-04 Comparison of the effect of gastrocnemius tendon flap turnover reinforcement and modified Kessler suture in the treatment of acute closed Achilles tendon rupture ZHOU Jingyuan SUO NAN Ang xiu The Fourth Ward Department of Orthopedics, Qinghai Provincial People′s Hospital, Qinghai Province, Xi′ning 810007, China [Abstract] Objective To analyze the clinical effect of gastrocnemius tendon flap turnover and reinforcement in the treatment of acute closed achilles tendon rupture, and to compare its effect with modified Kessler suture. Methods From April 2010 to April 2014, 50 patients with acute closed achilles tendon rupture who were treated in the Fourth Ward Department of Orthopedics, Qinghai Provincial People′s Hospital were selected as the research objects. Patients were divided into experimental group and control group according to different treatment methods, with 25 cases in each group. In the experimental group, the gastrocnemius tendon flap was used for treatment. The control group was treated with modified Kessler suture. The clinical symptoms of the two groups after treatment were observed and the clinical effects of the two groups was compared after treatment. Results After treatment, the total