温树正　郝增涛

[摘要] 目的 探讨急性跟腱断裂患者行微创和传统修复方法临床效果。方法 整群选取该院2014年8月—2015年8月收治的急性跟腱断裂90例患者临床资料进行回顾性分析，根据治疗时不同修复方案分成两组，将行传统修复方法38例患者设为对照组，将行微创修复方法52例患者设为观察组，对两组踝关节功能、疼痛状况与并发症情况进行对比。结果 观察组在两组治疗后AOFAS（92.45±7.20）分与VAS（1.20±0.14）分均改善基础上，其改善幅度更显著（P<0.05）；观察组总并发症率5.71%比对照组21.05%低（P<0.05）。结论 急性跟腱断裂患者行微创修复能够促进关节功能恢复，并减少并发症发生，可应用于临床。

[关键词] 急性跟腱断裂；传统；微创；效果

[中图分类号] R686 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0009-03

Observation on the Clinical Effects of Minimally Invasive Repair and the Conventional Repair on Acute Achilles Tendon Rupture

WEN Shu-zheng， HAO Zeng-tao

Hand and Foot Surgery， The Second Affiliated Hospital of Inner Mongolia Medical University， Hohhot， Inner Mongolia Autonomous Region， 010058 China

[Abstract] Objective To observe the clinical effects of minimally invasive repair and the conventional repair on acute Achilles tendon rupture. Methods The clinical data of 90 patients with acute Achilles tendon rupture admitted in our hospital between August 2014 and August 2015 were reviewed. The patients were divided into two groups in accordance with the repair regimen， the 38 patients given conventional repair for treatment were taken as the control group， whereas the other 52 patients treated by minimally invasive repair were set as the observation group. The ankle function， degree of pain and incidence of complications in the two groups were compared. Results After treatment， the AOFAS and VAS were （92.45±7.20） points and （1.20±0.14） points in the observation group， respectively. The AOFAS and VAS improved in both groups after treatment， moreover， the improvement was much better in the observation group than that in the control group （P<0.05）. The overall incidence of complications was obviously lower in the observation group than that in the control group （5.71% vs 21.05%） （P<0.05）. Conclusion For acute Achilles tendon rupture， minimally invasive repair can promote the recovery of the joint function and reduce the incidence of complications， therefore， this treatment can be applied to the clinical practice.

[Key words] Acute Achilles tendon rupture； Conventional； Minimally invasive； Effects

伴随竞技体育发展、交通意外事故增加与全民运动普及，临床运动型损伤患者不断增加；跟腱作为人体最大肌腱组织和膝关节下最坚韧肌腱组织，其生理作用表现为屈小腿与足跖屈，对人体直立体位产生直接影响。跟腱断裂为骨科常见疾病之一，在人体肌腱断裂中约占35%，中青年为其高发人群，此病症发病率较高，且呈不断上升趋势，临床需及时采取有效治疗措施，以促进患者关节功能恢复，改善预后[1-2]。伴随微创技术发展，因其具有创伤小、疼痛轻与术后恢复快等优势得到临床普遍关注。为提高急性跟腱断裂患者手术修复效果，以便为临床疾病治疗提供借鉴，该研究针对该院2014年8月—2015年8月已选定的急性跟腱断裂90例患者分别行不同修复方案效果进行回顾性分析，现作如下报告：

1 资料与方法

1.1 一般资料

整群选取该院2014年8月—2015年8月收治的急性跟腱断裂90例来自住院部患者临床资料进行回顾性分析，所有患者于手术前均通过MRI、X线、超声检查确诊[2]。……