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目的 观察微创手术配合中药熏洗及功能锻炼治疗闭合性跟腱断裂的疗效.方法 将40例闭合性跟腱断裂患者随机分为治疗组和对照组,均采用跟腱缝合微创修补术;术后3周进行足部熏洗,分别采用中药和温水熏洗;术后8周开始患足功能康复锻炼.治疗结束后观察和比较两组疗效.结果 治疗组跟腱愈合优良率明显优于对照组(P＜0.05);足踝功能AOFAS评分优于对照组(P＜0.05);且相关并发症显著低于对照组(P＜0.05).结论 对新鲜闭合性跟腱断裂采取微创手术,并配合中药熏洗加功能锻炼疗效好,创口恢复快,跟腱愈合率高,足踝关节功能恢复迅速,值得临床应用.“,”Objective To explore the efficacy of minimally invasive surgery combined with TCM fumigation and functional exercise in treatment of closed achilles tendon rupture.Methods 40 cases of closed achilles tendon were randomly divided into treatment group and control group.All patients were treated with Achilles tendon suture minimally invasive repair.After three weeks,treatment group received TCM fumigation and control group received warm water fumigation.Foot function rehabilitation exercise began 8 weeks after the surgery.After the treatment,the effects of the two groups were observed and compared.Results The good rate of achilles tendon healing in treatment group was better than that of control group (P＜0.05),the AOFAS score of the foot and ankle was better than control group (P＜0.05),and the related complications were significantly lower than that of control group (P＜0.05).Conclusion Minimally invasive surgery combined with TCM fumigation and functional exercise has good curative effect in fresh closed achilles tendon rupture for its fast wound recovery,high healing rate,and rapid functional recovery of ankle and ankle,it is worthy of clinical application.