有限开放性腱鞘冲洗治疗化脓性屈指肌腱腱鞘炎

Limited open-tendon-sheath irrigation in the treatment of pyogenic flexor tenosynovitis.

作者信息

Juliano P J, Eglseder W A

机构信息

Department of Orthopaedics, National Naval Medical Center, Bethesda, Maryland.

出版信息

Orthop Rev. 1991 Dec;20(12):1065-9.

PMID:1771103

Abstract

A retrospective review of 27 patients (28 fingers) with pyogenic flexor tenosynovitis, who were treated by a limited, open-tendon-sheath, intermittent-irrigation method that utilized a small pediatric feeding catheter, was conducted. The cases were subcategorized into three stages, based on the intraoperative appearance of the wound. Our results were 100% excellent in stage I; and 88.4% excellent, 5.8% good, and 5.8% fair in stage II. This method proved effective for the surgical management of pyogenic flexor tenosynovitis.

摘要

对27例（28指）化脓性屈指肌腱腱鞘炎患者进行了回顾性研究，这些患者采用了一种有限的、开放式腱鞘、间歇性冲洗的方法进行治疗，该方法使用了小儿喂养用的小导管。根据术中伤口表现，将病例分为三个阶段。我们的结果显示，I期的优良率为100%；II期的优良率为88.4%，良好率为5.8%，一般率为5.8%。该方法被证明对化脓性屈指肌腱腱鞘炎的手术治疗有效。