急性跟腱断裂手术与非手术治疗的研究进展

Research Progress of Surgical and Non-Surgical Treatment of Acute Achilles Tendon Rupture

摘要: 目的：总结急性跟腱断裂手术与非手术的研究进展。方法：查阅近年来国内外关于急性跟腱断裂手术与非手术的临床随机对照研究和系统评价，并进行分析总结。结果：目前循证医学证据显示，在急性跟腱断裂治疗中，手术治疗相对于非手术治疗可显著降低跟腱再破裂的风险，缩短了患者恢复运动状态和返回工作岗位的时间，提高了术后患者满意率。但在其他并发症，如：感染、腓肠神经损伤、皮肤瘢痕和深静脉血栓形成等方面，手术治疗有着较高的发生率。结论：在急性跟腱断裂治疗方案中，手术治疗可显著降低跟腱再破裂的风险及缩短患者恢复时间，但在其他并发症方面手术治疗有着较高发生率，但可以通过微创手术来减少发生率。

Abstract: Objective: To summarize the research progress of acute Achilles tendon rupture surgery and non-surgery. Method: Checking the clinical randomized controlled studies and systematic reviews on acute Achilles tendon rupture surgery and non-surgery at home and abroad in recent years, then analyzing and summarizing. Results: The current evidence-based medical evidence shows that in the treatment of acute Achilles tendon rupture, surgical treatment can significantly reduce the risk of re-rupture of the Achilles tendon compared with non-surgical treatment, and shorten the time for patients to return to sports and work, and improve the satisfaction rate of postoperative patients. However, surgical treatment has a higher incidence of other complications, such as infection, sural nerve injury, skin scarring, and deep vein thrombosis. Conclusion: In the treatment of acute Achilles tendon rupture, surgical treatment can significantly reduce the risk of re-rupture of the Achilles tendon and shorten the recovery time of patients. However, surgical treatment has a higher inci-dence of other complications, which can be reduced by minimally invasive surgery.