探析微型锚钉修复手指伸肌腱止点断裂伤中锤状指畸形的临床效果

[摘要] 目的 探析微型锚钉修复手指伸肌腱止点断裂伤中锤状指畸形的临床效果。 方法 随机选取2013年7月―2016年7月期间该院收治的100例手指伸肌腱止点断裂伤中锤状指畸形患者，将患者动态随机化分为两组，两组患者各有50例，对照组和观察组分别采用传统抽丝钢针法治疗和微型锚钉修复治疗后，再对比两组患者的手术时间、断端恢复时间、优良率、住院时间、总不良事件发生率。 结果 观察组患者优良率（98.00%）、住院时间（21.36±2.58）d、手术时间（34.05±5.47）min、断端恢复时间（19.34±4.52）d、总不良事件发生率（2.00%）明显优于对照组患者（P

[关键词] 微型锚钉修复；锤状指畸形；疗效

[中图分类号] R628 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0100-03

Study on Clinical Effect of Micro-anchoring Nail Repair for Mallet Finger Deformity in the Finger Extensor Terminal Tendon Rupture

ZHANG Yan-bin1，2， CHANG Wen-kai3

1.Clinical Medical Department， Shanxi Medical College， Taiyuan， Shanxi Province， 030001 China；2.Department of Emergency， Changzhi Hospital of Traditional Chinese Medicine， Changzhi， Shanxi Province， 046000 China；3.Department of Orthopedics， Second Affiliated Hospital of Shanxi Medical University， Taiyuan， Shanxi Province， 030001 China

[Abstract] Objective To study the clinical effect of micro-anchoring nail repair for mallet finger deformity in the finger extensor terminal tendon rupture. Methods 100 cases of patients with mallet finger deformity in the finger extensor terminal tendon rupture admitted and treated in our hospital from July 2013 to July 2016 were randomly selected and randomly divided into two groups with 50 cases in each， the control group and the observation group respectively adopted the traditional wire treatment and micro-anchoring nail repair， and the operation time， rim recovery time， excellent and good rate， length of stay and total incidence rate of adverse events were compared between the two groups. Results The excellent and good rate， length of stay and operation time， rim recovery time and total incidence rate of adverse events in the observation group were respectively 98.00%， （21.36±2.58）d， （34.05±5.47）min， （19.34±4.52）d and 2.00%， which were obviously better than those in the control group（P

[Key words] Micro-anchoring nail repair； Mallet finger deformity； Curative effect

手指伸肌腱止点断裂可导致患者远侧指间关节发生屈曲畸形，因此在临床上又Q之为锤状指畸形，属于临床常见的外科疾病，若患者未及时干预，可导致患者发展为关节疼痛、功能障碍、外观受损等并发症[1]。有研究表明，锤状指畸形诱发原因为手指I区屈肌腱力量较强，而长时间的牵拉，可影响手指外观和灵活性，最终出现手指畸形。目前临床首选治疗方式为外科手术，而随着医疗技术的进步，微创技术开始广泛应用于临床[2]。为了提高临床疗效，该院在2013年7月―2016年7月期间随机选取100例手指伸肌腱止点断裂伤中锤状指畸形患者，分别进行传统抽丝钢针法治疗和微型锚钉修复治疗，且对比两组患者疗效，现报道如下。