支具在指背腱膜修复术后应用的临床研究

发布时间：2018-06-18 19:55

本文选题：指 + 指背腱膜　；参考：《苏州大学》2015年硕士论文

【摘要】：目的:探讨指背腱膜修复术后应用支具治疗的临床效果。方法:选取2012年6月~2013年5月苏州大学附属瑞华医院急诊行指背腱膜修复术的患者20例,术后2周佩戴支具规范化治疗至术后12周,分别在术后4周、6周、8周、12周观察并记录患指的TAM值,为支具治疗组,与既往获得随访而未使用支具仅行常规治疗的患者20例为对照组进行对照,并行统计学分析。本研究以手指总主动活动度(total active movment TAM)系统评定法进行功能评定,以手指总主动活动度,手功能恢复优良率作为主要观察指标。结果:(1)手功能TAM评定:①支具治疗组治疗至术后12周TAM均值与术后4周TAM均值比较,差异有统计学意义(P㩳0.05),术后12周TAM均值优于术后4周TAM均值。②支具治疗组治疗至术后4周和术后6周TAM均值分别与常规治疗组同个观察点TAM均值比较,差异均无统计学意义(P0.05);支具治疗组治疗至术后8周和术后12周TAM均值分别与常规治疗组同个观察点TAM均值比较,差异均有统计学意义(P㩳0.05),支具治疗组在术后8周和术后12周TAM均值均优于常规治疗组,支具治疗组在术后8周以后开始体现疗效优势。③支具治疗组治疗至术后12周手功能恢复评定优良率为100%,优于常规治疗组术后12周优良率63.64%。(2)不良反应:支具治疗组在整个治疗过程中,未发现有因支具因素引起的皮肤坏死、肌腱断裂、关节脱位等不良反应,支具在治疗过程中是安全的。结论:指背腱膜修复术后规范化应用支具治疗,能较好防治指背腱膜术后粘连或再断裂,支具应用过程中无不良反应。支具应用是安全、经济、创伤小、实用的治疗方法,是指背腱膜修复术后治疗的必要手段之一。
[Abstract]:Objective: to investigate the clinical effect of applying abutment after repair of dorsal digital aponeurosis. Methods: from June 2012 to May 2013, 20 patients underwent emergency repair of dorsal aponeurosis of fingers in Ruihua Hospital affiliated to Suzhou University. The TAM values of the affected fingers were observed and recorded at 4 weeks, 6 weeks, 8 weeks and 12 weeks after operation. The TAM values of the patients in the treatment group were compared with 20 patients who had been followed up without routine treatment and were compared with those in the control group. In this study, the total active activity of fingers was evaluated by the total active movment TAM system, and the total active activity of the fingers and the excellent and good rate of the recovery of the hand function were taken as the main indexes. Results the mean value of TAM at 12 weeks after operation was compared with that of TAM at 4 weeks after operation. The difference was statistically significant (P < 0.05). The mean value of TAM at 12 weeks after operation was better than that of TAM at 4 weeks after operation in the treatment group and TAM at the same observation point in the routine treatment group from 4 weeks to 4 weeks and 6 weeks after operation, respectively. There was no significant difference between the two groups (P 0.05), TAM in the treatment group was compared with that at the same observation point in the routine treatment group from 8 weeks to 12 weeks after operation. The difference was statistically significant (P < 0.05). The mean value of TAM in the treatment group was better than that in the routine treatment group at 8 weeks and 12 weeks after operation. After 8 weeks after operation, the treatment group began to show the advantage of curative effect, and the excellent and good rate of rehabilitation of hand function in the treatment group was 100 to 12 weeks after operation, which was better than that in the routine treatment group at 12 weeks after operation. The excellent and good rate was 63.64. During the whole course of treatment, There were no adverse reactions such as skin necrosis, tendon rupture and joint dislocation caused by brace factors, so the brace was safe in the course of treatment. Conclusion: the standardized application of Anchorage after repair of dorsal aponeurosis of finger can prevent and cure adhesion or rerupture of aponeurosis of digital dorsal aponeurosis, and there is no adverse reaction in the application of Anchorage. The application of brace is a safe, economical, less traumatic and practical treatment method, which is one of the necessary methods for the repair of dorsal aponeurosis.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R658.2

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