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目的总结化脓性屈指肌腱腱鞘炎诊治经验,提高临床诊治水平。方法回顾自2008-02—2013-02诊治的5例化脓性屈指肌腱腱鞘炎诊治及转归并对近年相关文献进行分析。结果 1例因病情延误,患指坏死行截指术,余4例行非手术治疗无效后及时切开减压冲洗引流,均无肌腱坏死,功能评定结果:优2例,良2例,差1例。结论早诊断,早治疗,及时行切开减压冲洗引流是保证疗效的可靠方法。
Objective To summarize the diagnosis and treatment of tenosynovitis of pyogenic flexor tendon and to improve the level of clinical diagnosis and treatment. Methods The diagnosis and treatment of 5 cases of tenosynovitis of pyogenic flexor tendon treated and diagnosed from 2008-02-2013-02 were reviewed and the related literatures were analyzed in recent years. Results One patient suffered from necrosis of the tendon due to delaying the disease and cutting off the finger with necrosis. Four patients underwent non-surgical treatment of delayed decompression and flushing drainage. The results of the functional assessment were excellent in 2 cases and good in 2 cases 1 case. Conclusion Early diagnosis, early treatment, promptly cut decompression flush drainage is a reliable method to ensure efficacy.