急性闭合性跟腱断裂的治疗进展

摘要

急性闭合性跟腱断裂临床发病率较高，多由剧烈运动引起。诊断主要依据病史、体格检查及影像学检查。保守治疗容易发生再断裂且治疗周期长；手术治疗跟腱再断裂发生率低，但存在较多并发症风险。目前已证实术后的早期康复锻炼能获得较好的修复效果；新兴的治疗手段具有一定优势及前景，但目前急性闭合性跟腱断裂治疗尚无统一标准和策略。%The clinical incidence of acute closed rupture of Achilles tendon is fairly high, and it is mainly caused by strenuous exercise. The diagnosis are primarily based on medical history, physical examination and imaging studies. Conservative treatment tend to have a outcome of rerupture and long treatment cycle. Surgical treatment can reduce the incidence of rerupture, but there is more risk of complications. It has been proved that early postoperative rehabilitation exercises can get better effect of repairation. Newly emerging treatment has its advantages and pros-pects, but there is no unified standards and policies in the treatment of acute closed rupture of Achilles tendon.