祛风通络散配合微型骨锚重建指伸肌腱止点的临床研究
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摘要
目的:观察微型骨锚治疗对指伸肌腱止点断裂患者术后肌腱止点稳定性及功能活动的影响,进一步以活动范围评定结合影像学检查及术后康复时间长短等作为指标评价中医药对微型骨锚重建指伸肌腱止点术后康复以及功能锻炼的临床疗效。
方法:采取前瞻性随机对照试验的研究方法,通过对2006年7月到2008年3月之间41例应用微型骨锚重建指伸肌腱止点的病例,按简单随机化法分为治疗组和对照组。治疗组每次肌腱止点重建术后基础治疗,4周拔除克氏针后用祛风通络散熏洗患指,并指导患指的功能锻炼;对照组每次肌腱止点重建术后基础治疗,4周后拔除克氏针不应用中药熏洗,仅指导患指的功能锻炼。临床观察患者3个月至半年。观察两组病例拔除克氏针后患指的活动范围,患指的影像学表现,以及患指的康复时间等。
结果:
1.治疗组与对照组的患者在拔除克氏针后同等时间内患指的活动范围,患指的影像学表现,以及患指的康复时间相比较,有显著性差异(P＜0.05),提示治疗组可加快患指的肌腱愈合,促进患指的功能锻炼。但在患指影响学表现上,无显著性差异(P＞0.05),提示微型骨锚治疗对术后肌腱止点提供可靠的稳定性,恢复较好的形态。
2.治疗组与对照组的病例治愈率相比较,无显著性差异(P＞0.05),提示微型骨锚重建指伸肌腱止点是行之有效的手指伸肌腱Ⅰ区损伤的治疗方法。
3.治疗过程中进行血、尿、大便常规及心、肝、肾功能检查,两组均无异常变化,治疗过程中未见局部过敏反应或其他不良反应。
结论:
1.微型骨锚重建指伸肌腱止点术后应用祛风通络散熏洗,可加快患指的肌腱愈合,促进患指的功能锻炼。
2.微型骨锚重建指伸肌腱止点,操作安全、简便,固定牢固可靠,是行之有效的手指伸肌腱Ⅰ区损伤的治疗方法。
3.治疗组及对照组病例在安全性指标上均无异常,说明应用祛风通络散熏洗配合微型骨锚重建指伸肌腱止点在安全性上可行的。
Objective: The aim of the study was to assess the influence of stability and activities after the operation of micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum, further to confer the clinical effect of Chinese medicine for them through observing the scale of activities, the time of recovery and the behavior of radiology of the wounded fingers.
Methods:41 patients from July ,2006 to March ,2008 treating by Micro Arc bone Anchor were randomly assigned to the treating group or to the control group. The treating group was treated by Micro Arc bone Anchor combined with herbal fume bathing, and the control group was treated only by Micro Arc bone Anchor. The course last 3 months to 6 months. After removing spiculate fixing object, the scale of activities, the time of recovery and the behavior of radiology of two groups were observed and compared.
Results:
1. The index of the scale of activities and the time of recovery of treating group and control group ,within the same interval after removing spiculate fixing object, has significant difference (P<0.05) .It shows that management of treating group could quicken the the healing of tendons and faciliate the function exercise of wounded fingers,while the behavior of radiology of two groups have no significant difference (P>0. 05) which showed that the micro-anchor in reestablishment of adhesion of tendon of extensor digitorum is reliable and effective.
2. The cure rate of treating group and control group have no significant difference (P>0. 05) that showed the micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum is a reliable means for the damnification of Region I of tendon of extensor digitorum.
3. Both of the two groups have no significant difference in routine blood test, routine urine test, routine stool test, heart function, liver function, kidney function during the study comparing with the pre-treatment .There is no allergic reaction and adverse drug reactions during the treating.
Conclusion:
1. Qufengtongluo powder combined with micro Arc bone Anchor in reestablishment of the adhesion of tendon of extensor digitorum, could quicken the healing of tendons and faciliate the function exercise of wounded fingers.
2. the micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum is a reliable means for the damnification of Region I of tendon of extensor digitorum due to safe , convenient manipulation and reliable , stable effect.
3. Both of the two groups have no difference on safty index, so qufengtongluo powder combined with micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum is safe and feasible.
方法:采取前瞻性随机对照试验的研究方法,通过对2006年7月到2008年3月之间41例应用微型骨锚重建指伸肌腱止点的病例,按简单随机化法分为治疗组和对照组。治疗组每次肌腱止点重建术后基础治疗,4周拔除克氏针后用祛风通络散熏洗患指,并指导患指的功能锻炼;对照组每次肌腱止点重建术后基础治疗,4周后拔除克氏针不应用中药熏洗,仅指导患指的功能锻炼。临床观察患者3个月至半年。观察两组病例拔除克氏针后患指的活动范围,患指的影像学表现,以及患指的康复时间等。
结果:
1.治疗组与对照组的患者在拔除克氏针后同等时间内患指的活动范围,患指的影像学表现,以及患指的康复时间相比较,有显著性差异(P＜0.05),提示治疗组可加快患指的肌腱愈合,促进患指的功能锻炼。但在患指影响学表现上,无显著性差异(P＞0.05),提示微型骨锚治疗对术后肌腱止点提供可靠的稳定性,恢复较好的形态。
2.治疗组与对照组的病例治愈率相比较,无显著性差异(P＞0.05),提示微型骨锚重建指伸肌腱止点是行之有效的手指伸肌腱Ⅰ区损伤的治疗方法。
3.治疗过程中进行血、尿、大便常规及心、肝、肾功能检查,两组均无异常变化,治疗过程中未见局部过敏反应或其他不良反应。
结论:
1.微型骨锚重建指伸肌腱止点术后应用祛风通络散熏洗,可加快患指的肌腱愈合,促进患指的功能锻炼。
2.微型骨锚重建指伸肌腱止点,操作安全、简便,固定牢固可靠,是行之有效的手指伸肌腱Ⅰ区损伤的治疗方法。
3.治疗组及对照组病例在安全性指标上均无异常,说明应用祛风通络散熏洗配合微型骨锚重建指伸肌腱止点在安全性上可行的。
Objective: The aim of the study was to assess the influence of stability and activities after the operation of micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum, further to confer the clinical effect of Chinese medicine for them through observing the scale of activities, the time of recovery and the behavior of radiology of the wounded fingers.
Methods:41 patients from July ,2006 to March ,2008 treating by Micro Arc bone Anchor were randomly assigned to the treating group or to the control group. The treating group was treated by Micro Arc bone Anchor combined with herbal fume bathing, and the control group was treated only by Micro Arc bone Anchor. The course last 3 months to 6 months. After removing spiculate fixing object, the scale of activities, the time of recovery and the behavior of radiology of two groups were observed and compared.
Results:
1. The index of the scale of activities and the time of recovery of treating group and control group ,within the same interval after removing spiculate fixing object, has significant difference (P<0.05) .It shows that management of treating group could quicken the the healing of tendons and faciliate the function exercise of wounded fingers,while the behavior of radiology of two groups have no significant difference (P>0. 05) which showed that the micro-anchor in reestablishment of adhesion of tendon of extensor digitorum is reliable and effective.
2. The cure rate of treating group and control group have no significant difference (P>0. 05) that showed the micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum is a reliable means for the damnification of Region I of tendon of extensor digitorum.
3. Both of the two groups have no significant difference in routine blood test, routine urine test, routine stool test, heart function, liver function, kidney function during the study comparing with the pre-treatment .There is no allergic reaction and adverse drug reactions during the treating.
Conclusion:
1. Qufengtongluo powder combined with micro Arc bone Anchor in reestablishment of the adhesion of tendon of extensor digitorum, could quicken the healing of tendons and faciliate the function exercise of wounded fingers.
2. the micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum is a reliable means for the damnification of Region I of tendon of extensor digitorum due to safe , convenient manipulation and reliable , stable effect.
3. Both of the two groups have no difference on safty index, so qufengtongluo powder combined with micro-anchor in reestablishment of the adhesion of tendon of extensor digitorum is safe and feasible.
引文
1.管英杰.末节指骨基底背侧撕脱性骨折钢丝内固定的新经验.实用手外科杂志,2001,15(4):246
2.吴克俭,王富,张伟佳,等.末节指骨基底背侧撕脱骨折的手术治疗.中华手外科杂志,2004,20(3):169-170
3.刘娟妮,吴翔雁。末节指骨基底背侧撕脱骨折并伸肌腱止点损伤治疗体会.实用医技杂志,2006,13(1):94-95
4.赵斌修,陈晓亮。远节指骨靠近基底部背侧钻孔修复指伸肌腱Ⅰ区止点处撕脱伤。中国骨伤,2005,188(1):4444-45
5.刘守海。铝板固定治疗新鲜锤状指9例。辽宁中医杂志,2004,31(1):37
6.冯明录。钢丝加克氏针内固定治疗手指末节撕脱骨折。中华手外科杂志,2003,19(2):81
7.梅锦荣,李雄峰,罗斌,等。锤状指手术治疗的临床研究。中华手外科杂志,2006,22(3):172-173
8.王澍寰,田光磊,李淳,等。指深屈肌腱撕脱性损伤附14例报告。中华手外科杂志,2002,18(2):91-93
9.冯云华,卢俊范,谭广毅。铝板指套固定治疗新鲜锤状指。实用手外科杂志,2002,16(4):232
10.门赞。胶布皮牵引法治疗锤状指15例。陕西中医学院学报,2005,28(2):32
11.于洋,张栋,陈本钰,等。新鲜锤状指的治疗。实用手外科杂志,2005,19(2):114-115
12.付胜强,孙明,杨志勇,等。改良伸指肌腱止点重建术治疗新鲜锤状指。中国骨与关节损伤杂志,2005,20(8):551-552
13.张建福。介绍一种远节指骨基底外伤性锤状指的简易固定方法。中医正骨,2004,16(12):8
14.尚剑,武亮,孟宪宇。锤状指治疗过程中并发症的探讨。哈尔滨医科大学学报,2005,39(6):547-548
15.丰波,张霄雁,于绍斌,等。陈旧性锤状指畸形的治疗。实用手外科杂志,2004,18(3):171-172
16.陆涛,宋知非,任杰。Ⅰ区伸肌腱断裂锤状指保守疗法疗效不佳的探讨。中华创伤骨科杂志,2005,7(9):891-892
17.庄加川,张振伟,廖坚文,等。伸肌腱止点重建治疗锤状指畸形。实用手外科杂志,2005,19(3):139-140
18.张惠平。腱皮缝合术治疗闭合性伸指肌腱Ⅰ区断裂伤。中国骨伤,2004,17(8): 496-497
19.陆大明,陆振良,徐雪平,等。Anchor钉重建伸肌腱止点治疗锤状指。临床和实验医学杂志,2006,5(12):1939-1940
20.刘志刚,于家傲,王国君。指伸肌腱终腱损伤的生物力学研究。中华手外科杂志,2002,18(1):52-54
21.王欣,陈宏,王晓峰,等。应用微型骨锚重建指伸肌腱终腱止点—附6例报告。中华手外科杂志,2005,21(6):360-361
22.郭铁芳,韩雪峰,鲁世荣,等。微型骨锚重建指伸肌腱中央束止点的生物力学研究和临床应用。中华手外科杂志,2001,17(3):142-144
23.苑福升,张巨,孙鸿斌,等。掌长肌腱腱片移植重建终腱治疗陈旧性锤状指畸形。中华手外科杂志,2006,22(3):149-150
24.田敏,李坤。微型锚钉在治疗锤状指中的应用。中国矫形外科杂志,2006,14(24):1906-1907
25.熊革,中村蓼吾。石黑法治疗伴撕脱骨折的锤状指。中国修复重建外科杂志,2004,18(2):138-141
26.路来金,宫旭。Ishiguro法治疗指伸肌腱撕脱骨折。中华手外科杂志,2002,18(2):96-97
27.马秀军,韩晓红。指伸屈肌腱止点撕脱的治疗及撕脱骨折术式的改良。实用手外科杂志,2004,18(4):242
28.刘育凤,黄金龙,章庆国,等。肌腱与指骨的加强固定治疗Ⅰ区伸肌腱损伤。中华手外科杂志,2004,20(1):32-33
29.中村蓼吾,熊革。骨锚在腕关节韧带修复与重建中的应用。中华手外科杂志,2002,18(2):88-90
30.陈宏,王欣,李学渊,等。应用微型骨锚重建手指侧副韧带-附7例报告。中华手外科杂志,2006,22(6):356-357
31.杨华,周初松,YANG Hua,等。超声诊断近端指间关节伸指肌中央腱断裂的临床研究。第一军医大学学报,2005,25(5):556-557,561
32.于亚东,郭清,邵新中,等。手指伸肌腱装置的应用解剖学研究。河北医药,2002,24(8):616-617
33.李炳万,李锐,崔建礼,等。小指伸指肌腱的临床解剖学研究。解剖与临床,2004,9(2):67-70
34.李文东,戚建武,孙涛,等。钻孔缝合法治疗伸指肌腱止点切断伤。现代实用医学,2005,17(1):54
35.曾林如,王利祥,宋云峰,等。中药熏洗用于手屈指肌腱Ⅱ区修复后功能恢复。浙江中西医结合杂志,2006,16(12):745-747
36.向清国,唐长友,陈松。屈指肌腱修复术后早期活动的意义。中医药导报,2005,11(1):51-52,58
37.姜德欣,刘遵勇,吴旭东。起网机绞伤致锤状指36例报告。中华手外科杂志,2004,20(3):185
38.李允,杨国兴,张立平。闭合性新鲜无骨折锤状指的手术治疗。中国骨伤,2006,19(12):753
39.王秋生,谭文君,左方,等。经皮三枚针头闭合穿针治疗骨性锤状指。实用手外科杂志,2004,18(2):92
40.张万强。经皮注射针头固定加夹板外固定治疗锤状指畸形26例。中国骨伤,2001,14(11):691
41.刘跃会,尹绍猛,李英平。陈旧性锤状指畸形治疗体会。中国骨伤,2003,16(5):298
42.程国良,主编.手指再植与再造。第二版.北京.人民卫生出版社:2005.104-105.
43.孙健。指间关节双针外固定加腱片移植修复治疗锤状指。黑龙江医药,2003,16(1):70
44.吕尚军。局部成形术治疗陈旧性锤状指22例。实用手外科杂志,2003,17(1):46
45.侯纪寿,南国新。应用甲根皮瓣式切口治疗锤状指。中华手外科杂志,2004,20(1):57
46.方俊英,梁萍。甲根皮瓣式切口及伸指肌腱Y-V成形治疗陈旧槌状指。中国厂矿医学,2005,18(5):445-446
47.党继红,纪伟。锤状指25例治疗方法探讨。中国医师杂志,2005,7(8):1066
48.陈焕庆,赵万象,陈岩,等。69例(71指)锤状指四种治疗方法结果分析比较。中国医师杂志,2004,6(7):949-950
49.徐海林 傅中国 王天兵,等。锤状指的治疗。中华手外科杂志,2007,23(2):87-88
50.黄永辉,沈铁城,袁盛茂,等。锤状指保守治疗和手术治疗的疗效比较。中国现代医学杂志,2003,13(16):133-134
51.孙鲁源,姜佩珠,范存义,等。陈旧性槌状指畸形的手术治疗。上海交通大学学报(医学版),2006,26(2):128-129
52.谢立新,韩俊芳,申俊生。锤状指畸形手术治疗23例。骨与关节损伤杂志,2000,15(2):110
53.刘俊英,赫玉福.锤状指35例保守与手术治疗的体会.北京医学,2001,23(05):319
54.徐自强,宫秀俊,田中和具。骨性锤状指的手术治疗。骨与关节损伤杂志,2001,16(2):92
55.姜国,范存义。微型锚钉治疗陈旧性锤状指畸形的疗效分析。中国矫形外科杂志,2007,15(4):251-253,I0002
56.张美程,锤状指非手术疗法50例治疗小结.黑龙江中医药,2002,(02):42
57.富玲,宋宁,夏禹。急性期锤状指畸形的治疗体会。中华现代临床医学杂志,2003,1(7):623-624
58.汤成华。外伤性锤状指的治疗(附167例报告)。世界感染杂志,2001,1(5):429-430
59.关立,周君琳,陆铁。应用微型骨锚重建指伸肌腱止点的临床研究。中华创伤骨科杂志,2007,9(5):439-441
60.Bonin N,Obert L,Jeunet L,et al.Reinsertion of the flexor tendon using a suture anchor:prospective study using early active motion[J].ChirMain,2003,22(6):305-311.
61.Barbara D,Peter I,Michael A.M,et al.The Mitek Mini G2 Suture Anchor:Biomechanical Analysisof Use in the Hand.The Journal of Hand Surgery,1995,20(5):877-881.
62.Brustein M,Pellegrini J,Choueka J,et al.Bone suture anchors versus the pullout button for repair of distal profundus tendon injuries:a comparison of strength in human cadaveric hands[J].J Hand Surg(Am),2001,26(3):489-496.
63.王澍寰,主编。手外科学.第二版.北京:人民卫生出版社;2002,257-261,417-466,807-811.
64.王学谦,张铁良,主编。实用骨科手术学.第二版.天津:天津科学技术出版社;2006,835.
65.黄学员,苏博源,曾展鹏。微型anchor钉重建术配合中药熏洗治疗指伸肌键止点断裂的临床观察。新中医,2007,39(9):55-56。
66.王真,张录强。自制“T”形指托治疗锤状指。骨与关节损伤杂志,2004,19(12):853。
67.石启双。苗药祛风通络扶正散治疗面神经麻痹108例体会。中国民族医药杂志,2007,(2):16-17。
68.缪峰。祛风通络法治疗偏头痛67例。陕西中医,2006,27(3):281-283。
69.黄光洪。祛风通络活血汤治疗急性缺血性中风80例临床观察。中华实用中西医杂志,2004,4(8),:1127-1128。
70.李功营,李小兵。祛风通络活血汤治疗偏头痛38例。新中医,2006,38(8):72-73。
71.王文甲。中西医结合治疗面神经麻痹60例。临床医药实践杂志,200,14(9):695。
72.陈厚平,吴正平。祛风通络饮治疗原发性三叉神经痛临床观察。井冈山学院学报(自然科学),2006,(12):134,138。
73.薛利华,李云。祛风通络液改进方治疗痹证91例。现代中医药,2006,26(4):6-7。
74.唐洪梅,黄月纯,曾惠芳等。高效液相色谱法测定祛风通络散中次乌头碱的含量。中药材,2005,28(5):420-422。
75.招荣镒,孙亦群,彭彤。祛风通络散中大黄与两面针的薄层色谱鉴别及酯型生物碱的限量检查。时珍国医国药,2006,17(7):1258-1259。
2.吴克俭,王富,张伟佳,等.末节指骨基底背侧撕脱骨折的手术治疗.中华手外科杂志,2004,20(3):169-170
3.刘娟妮,吴翔雁。末节指骨基底背侧撕脱骨折并伸肌腱止点损伤治疗体会.实用医技杂志,2006,13(1):94-95
4.赵斌修,陈晓亮。远节指骨靠近基底部背侧钻孔修复指伸肌腱Ⅰ区止点处撕脱伤。中国骨伤,2005,188(1):4444-45
5.刘守海。铝板固定治疗新鲜锤状指9例。辽宁中医杂志,2004,31(1):37
6.冯明录。钢丝加克氏针内固定治疗手指末节撕脱骨折。中华手外科杂志,2003,19(2):81
7.梅锦荣,李雄峰,罗斌,等。锤状指手术治疗的临床研究。中华手外科杂志,2006,22(3):172-173
8.王澍寰,田光磊,李淳,等。指深屈肌腱撕脱性损伤附14例报告。中华手外科杂志,2002,18(2):91-93
9.冯云华,卢俊范,谭广毅。铝板指套固定治疗新鲜锤状指。实用手外科杂志,2002,16(4):232
10.门赞。胶布皮牵引法治疗锤状指15例。陕西中医学院学报,2005,28(2):32
11.于洋,张栋,陈本钰,等。新鲜锤状指的治疗。实用手外科杂志,2005,19(2):114-115
12.付胜强,孙明,杨志勇,等。改良伸指肌腱止点重建术治疗新鲜锤状指。中国骨与关节损伤杂志,2005,20(8):551-552
13.张建福。介绍一种远节指骨基底外伤性锤状指的简易固定方法。中医正骨,2004,16(12):8
14.尚剑,武亮,孟宪宇。锤状指治疗过程中并发症的探讨。哈尔滨医科大学学报,2005,39(6):547-548
15.丰波,张霄雁,于绍斌,等。陈旧性锤状指畸形的治疗。实用手外科杂志,2004,18(3):171-172
16.陆涛,宋知非,任杰。Ⅰ区伸肌腱断裂锤状指保守疗法疗效不佳的探讨。中华创伤骨科杂志,2005,7(9):891-892
17.庄加川,张振伟,廖坚文,等。伸肌腱止点重建治疗锤状指畸形。实用手外科杂志,2005,19(3):139-140
18.张惠平。腱皮缝合术治疗闭合性伸指肌腱Ⅰ区断裂伤。中国骨伤,2004,17(8): 496-497
19.陆大明,陆振良,徐雪平,等。Anchor钉重建伸肌腱止点治疗锤状指。临床和实验医学杂志,2006,5(12):1939-1940
20.刘志刚,于家傲,王国君。指伸肌腱终腱损伤的生物力学研究。中华手外科杂志,2002,18(1):52-54
21.王欣,陈宏,王晓峰,等。应用微型骨锚重建指伸肌腱终腱止点—附6例报告。中华手外科杂志,2005,21(6):360-361
22.郭铁芳,韩雪峰,鲁世荣,等。微型骨锚重建指伸肌腱中央束止点的生物力学研究和临床应用。中华手外科杂志,2001,17(3):142-144
23.苑福升,张巨,孙鸿斌,等。掌长肌腱腱片移植重建终腱治疗陈旧性锤状指畸形。中华手外科杂志,2006,22(3):149-150
24.田敏,李坤。微型锚钉在治疗锤状指中的应用。中国矫形外科杂志,2006,14(24):1906-1907
25.熊革,中村蓼吾。石黑法治疗伴撕脱骨折的锤状指。中国修复重建外科杂志,2004,18(2):138-141
26.路来金,宫旭。Ishiguro法治疗指伸肌腱撕脱骨折。中华手外科杂志,2002,18(2):96-97
27.马秀军,韩晓红。指伸屈肌腱止点撕脱的治疗及撕脱骨折术式的改良。实用手外科杂志,2004,18(4):242
28.刘育凤,黄金龙,章庆国,等。肌腱与指骨的加强固定治疗Ⅰ区伸肌腱损伤。中华手外科杂志,2004,20(1):32-33
29.中村蓼吾,熊革。骨锚在腕关节韧带修复与重建中的应用。中华手外科杂志,2002,18(2):88-90
30.陈宏,王欣,李学渊,等。应用微型骨锚重建手指侧副韧带-附7例报告。中华手外科杂志,2006,22(6):356-357
31.杨华,周初松,YANG Hua,等。超声诊断近端指间关节伸指肌中央腱断裂的临床研究。第一军医大学学报,2005,25(5):556-557,561
32.于亚东,郭清,邵新中,等。手指伸肌腱装置的应用解剖学研究。河北医药,2002,24(8):616-617
33.李炳万,李锐,崔建礼,等。小指伸指肌腱的临床解剖学研究。解剖与临床,2004,9(2):67-70
34.李文东,戚建武,孙涛,等。钻孔缝合法治疗伸指肌腱止点切断伤。现代实用医学,2005,17(1):54
35.曾林如,王利祥,宋云峰,等。中药熏洗用于手屈指肌腱Ⅱ区修复后功能恢复。浙江中西医结合杂志,2006,16(12):745-747
36.向清国,唐长友,陈松。屈指肌腱修复术后早期活动的意义。中医药导报,2005,11(1):51-52,58
37.姜德欣,刘遵勇,吴旭东。起网机绞伤致锤状指36例报告。中华手外科杂志,2004,20(3):185
38.李允,杨国兴,张立平。闭合性新鲜无骨折锤状指的手术治疗。中国骨伤,2006,19(12):753
39.王秋生,谭文君,左方,等。经皮三枚针头闭合穿针治疗骨性锤状指。实用手外科杂志,2004,18(2):92
40.张万强。经皮注射针头固定加夹板外固定治疗锤状指畸形26例。中国骨伤,2001,14(11):691
41.刘跃会,尹绍猛,李英平。陈旧性锤状指畸形治疗体会。中国骨伤,2003,16(5):298
42.程国良,主编.手指再植与再造。第二版.北京.人民卫生出版社:2005.104-105.
43.孙健。指间关节双针外固定加腱片移植修复治疗锤状指。黑龙江医药,2003,16(1):70
44.吕尚军。局部成形术治疗陈旧性锤状指22例。实用手外科杂志,2003,17(1):46
45.侯纪寿,南国新。应用甲根皮瓣式切口治疗锤状指。中华手外科杂志,2004,20(1):57
46.方俊英,梁萍。甲根皮瓣式切口及伸指肌腱Y-V成形治疗陈旧槌状指。中国厂矿医学,2005,18(5):445-446
47.党继红,纪伟。锤状指25例治疗方法探讨。中国医师杂志,2005,7(8):1066
48.陈焕庆,赵万象,陈岩,等。69例(71指)锤状指四种治疗方法结果分析比较。中国医师杂志,2004,6(7):949-950
49.徐海林 傅中国 王天兵,等。锤状指的治疗。中华手外科杂志,2007,23(2):87-88
50.黄永辉,沈铁城,袁盛茂,等。锤状指保守治疗和手术治疗的疗效比较。中国现代医学杂志,2003,13(16):133-134
51.孙鲁源,姜佩珠,范存义,等。陈旧性槌状指畸形的手术治疗。上海交通大学学报(医学版),2006,26(2):128-129
52.谢立新,韩俊芳,申俊生。锤状指畸形手术治疗23例。骨与关节损伤杂志,2000,15(2):110
53.刘俊英,赫玉福.锤状指35例保守与手术治疗的体会.北京医学,2001,23(05):319
54.徐自强,宫秀俊,田中和具。骨性锤状指的手术治疗。骨与关节损伤杂志,2001,16(2):92
55.姜国,范存义。微型锚钉治疗陈旧性锤状指畸形的疗效分析。中国矫形外科杂志,2007,15(4):251-253,I0002
56.张美程,锤状指非手术疗法50例治疗小结.黑龙江中医药,2002,(02):42
57.富玲,宋宁,夏禹。急性期锤状指畸形的治疗体会。中华现代临床医学杂志,2003,1(7):623-624
58.汤成华。外伤性锤状指的治疗(附167例报告)。世界感染杂志,2001,1(5):429-430
59.关立,周君琳,陆铁。应用微型骨锚重建指伸肌腱止点的临床研究。中华创伤骨科杂志,2007,9(5):439-441
60.Bonin N,Obert L,Jeunet L,et al.Reinsertion of the flexor tendon using a suture anchor:prospective study using early active motion[J].ChirMain,2003,22(6):305-311.
61.Barbara D,Peter I,Michael A.M,et al.The Mitek Mini G2 Suture Anchor:Biomechanical Analysisof Use in the Hand.The Journal of Hand Surgery,1995,20(5):877-881.
62.Brustein M,Pellegrini J,Choueka J,et al.Bone suture anchors versus the pullout button for repair of distal profundus tendon injuries:a comparison of strength in human cadaveric hands[J].J Hand Surg(Am),2001,26(3):489-496.
63.王澍寰,主编。手外科学.第二版.北京:人民卫生出版社;2002,257-261,417-466,807-811.
64.王学谦,张铁良,主编。实用骨科手术学.第二版.天津:天津科学技术出版社;2006,835.
65.黄学员,苏博源,曾展鹏。微型anchor钉重建术配合中药熏洗治疗指伸肌键止点断裂的临床观察。新中医,2007,39(9):55-56。
66.王真,张录强。自制“T”形指托治疗锤状指。骨与关节损伤杂志,2004,19(12):853。
67.石启双。苗药祛风通络扶正散治疗面神经麻痹108例体会。中国民族医药杂志,2007,(2):16-17。
68.缪峰。祛风通络法治疗偏头痛67例。陕西中医,2006,27(3):281-283。
69.黄光洪。祛风通络活血汤治疗急性缺血性中风80例临床观察。中华实用中西医杂志,2004,4(8),:1127-1128。
70.李功营,李小兵。祛风通络活血汤治疗偏头痛38例。新中医,2006,38(8):72-73。
71.王文甲。中西医结合治疗面神经麻痹60例。临床医药实践杂志,200,14(9):695。
72.陈厚平,吴正平。祛风通络饮治疗原发性三叉神经痛临床观察。井冈山学院学报(自然科学),2006,(12):134,138。
73.薛利华,李云。祛风通络液改进方治疗痹证91例。现代中医药,2006,26(4):6-7。
74.唐洪梅,黄月纯,曾惠芳等。高效液相色谱法测定祛风通络散中次乌头碱的含量。中药材,2005,28(5):420-422。
75.招荣镒,孙亦群,彭彤。祛风通络散中大黄与两面针的薄层色谱鉴别及酯型生物碱的限量检查。时珍国医国药,2006,17(7):1258-1259。