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局部注射类固醇类药物致跟腱断裂2例

Hits: 2512 Download times: 1322 Received:January 16, 2005

作者	Author	单位	Unit	E-Mail
祁振良	QI Zhen-liang	东光县医院骨科,河北东光061600
李俊龙	LI Jun-long	东光县医院骨科,河北东光061600

期刊信息：《中国骨伤》2005年18卷，第9期，第532-532页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

例1,男,56岁,入院前5d在下台阶时,自感“嘭”的一声,即感觉右跟部疼痛,行走不稳。查体所见:皮肤无破损,跟骨结节上2cm处触及空虚感,跟腱连续性中断,压痛（+）,Thompson试验（+）,提踵试验（+）,X线片示骨质无异常改变,诊断为“跟腱断裂”。既往于4个月前患者右跟部疼痛,在当地医院诊断为“跟腱滑囊炎”,行氢化泼尼松注射液封闭治疗,7~10d1次,连续注射7次。术中所见:切开皮肤、皮下,见跟腱在附丽点上2cm处完全断裂,断端呈马尾状,颜色黄暗,少许肉芽组织,清理断端间组织,将跟腱断端修剪平整（切除部分送病理）,将近端用钢丝倒“U”形穿绕,自足底皮肤拉出,结扎在纽扣上,细丝线间断缝合跟

[关键词]:跟腱误诊治疗失败

Two patients with rupture of achilles tendon induced by injection of steroid drugs

KEYWORDS:Achilles tendon Diagnostic errors Trea tment failure

引用本文，请按以下格式著录参考文献：

中文格式:	祁振良,李俊龙.局部注射类固醇类药物致跟腱断裂2例[J].中国骨伤,2005,18(9):532
英文格式:	QI Zhen-liang,LI Jun-long.Two patients with rupture of achilles tendon induced by injection of steroid drugs[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(9):532

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