林琅山++陈峰++杨正禄++刘军

[摘要]目的 分析小切口微创治疗新鲜跟腱断裂的临床效果和安全性。方法 选取我院2013年3月～2016年6月收治120例新鲜跟腱断裂患者，随机分为观察组和对照组，各60例。观察组采用小切口微创治疗，对照组采用常规切口治疗，比较两组的治疗效果。结果 观察组手术治疗后的并发症发生率为5.00%，低于对照组的20.00%，差异有统计学意义（P<0.05）。观察组手术治疗后的完全恢复时间、住院时间短于对照组，两侧小腿最大周长差小于對照组，差异有统计学意义（P<0.05）。观察组手术治疗后的总有效率为93.33%，高于对照组的75.00%，差异有统计学意义（P<0.05）。结论 对新鲜跟腱断裂患者实施小切口微创治疗，不仅能减少术中感染、肌腱再断裂、术后粘连等并发症，还能改善患者两侧小腿最大周长差，缩短完全恢复时间以及住院时间。

[关键词]新鲜跟腱断裂；小切口微创；常规切口

[中图分类号] R658.3 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0081-03

Clinical effect and safety analysis of small incision minimally invasive in the treatment of fresh rupture of achilles tendon

LIN Lang-shan CHEN Feng YANG Zheng-lu LIU Jun

Department of Hand-Foot Surgery，Songgang People′s Hospital of Baoan District in Shenzhen City，Shenzhen 518105，China

[Abstract]Objective To analyze the clinical effect and safety of small incision minimally invasive in the treatment of fresh rupture of achilles tendon.Methods 120 patients with fresh rupture of achilles tendon from March 2013 to June 2016 in our hospital were selected and randomly divided into the observation group and the control group，60 cases in each group.The observation group was given small incision minimally invasive and the control group was treated with general incision.The treatment effect of the two groups was compared.Results The incidence rate of postoperative complications in the observation group was 5.00%，which was lower than that of the control group （20.00%），with significant difference （P<0.05）.The complete recovery time and hospitalization time in the observation group was shorter than that in the control group，and the difference of the maximum circumference between the two sides of the observation group was less than that of the control group，with significant difference （P<0.05）.The total effective rate of the observation group was 93.33%，which was higher than that of the control group （75.00%），with significant difference （P<0.05）.Conclusion Using small incision minimally invasive in the treatment of fresh rupture of achilles tendon can not only reduce the complications such as infection，tendon rupture，adhesion after operation，but also improve the perimeter difference of bilateral crus，shorten the recovery time and hospitalization time.

[Key words]Fresh rupture of achilles tendon；Small incision minimally invasive；General incision

近年来，跟腱断裂发生率呈上升趋势，发病年龄多为31～60岁，其中两类跟腱断裂高发人群应引起注意，一类是平时生活处于静态并且意愿间断性参加高强度活动的人，另一类是常年长时间体育活动的人，上述两类均是跟腱断裂的高危人群。引起跟腱断裂的其他高危因素还包括激素的使用、喹诺酮类抗生素的使用、甲状腺功能亢进、动脉硬化、既往的跟腱损伤、感染等因素，常见的发病时间为气候温暖季节，一般为冬春交接和夏秋交接时。跟腱断裂根据断裂时间可分为陈旧性断裂、亚急性断裂、新鲜断裂三种，而新鲜跟腱断裂在临床上较为常见，常采用手术进行治疗。传统手术方式切口较大，易导致新鲜跟腱断裂患者术中发生多种并发症，严重影响传统手术的效果[1]，因此，我院对小切口微创治疗新鲜跟腱断裂的临床效果和安全性进行分析和研究，现报道如下。

1资料与方法

1.1一般资料

选取我院2013年3月～2016年6月收治的120例新鲜跟腱断裂患者，随机分为观察组和对照组，各60例。……