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外伤致肌腱断裂较常见,但股直肌肌腹完全断裂较少见,因无明显症状,易与肌疝混淆,现报告1例如下:患者男23岁,军人.于1984年10月长跑后发现左大腿上段前侧有一鸽蛋大小的包块,有酸胀感,但无疼痛,膝关节伸屈无明显异常,外院诊断为“肌疝”.后包块逐渐增大,于1986年2月入院.体检:左大腿中上段前侧10×8cm椭圆形包块,边缘清楚,质软,压之稍可缩小,无压痛,左膝关节伸屈活动不受限,X线及化验均正常,诊断为“肌疝”行手术治疗.作左大腿前侧12cm纵形切口,见股直肌于膝上15cm处肌腹完全断裂.肌腹断端回缩,断端有纤维疤痕粘连.略加修齐肌肉和筋膜,在断端周围的外膜上作褥式缝合使其对合.术后石膏托固定5周.随访2年未复发.
Traumatic tendon rupture is more common, but the complete rectus abdominis muscle rupture less common, because no obvious symptoms, easy to be confused with my hernia, are reported as follows: The patient male 23 years old, soldier. In 1984 October after long-run Found that the upper left thigh section of a pigeon egg mass in the front of the mass, a sense of soreness, but no pain, knee flexion and extension no obvious abnormalities, the outer hospital diagnosed as “hernia.” After the mass gradually increased in 1986 2 Month admission. Physical examination: the left thigh in the front 10 × 8cm oval mass, clear edge, soft, slightly compressed can be reduced, no tenderness, left knee flexion and extension activities are not limited, X-ray and laboratory were normal , Diagnosed as “hernia” line of surgery for left anterior thigh 12cm longitudinal incision, see the rectus muscle at the knee 15cm at the abdomen completely ruptured. Abdominal muscle end retraction, the end of fiber scar adhesion. Plus repair muscle and fascia, in the stump end of the outer membrane on the mattress suture to be combined .Postoperative plaster for 5 weeks. 2 years follow-up without recurrence.