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目的：通过对简单端端吻合与肌腱加强修复治疗跟腱断裂的疗效对比研究，探讨治疗该损伤的最佳方法。方法：回顾分析2010年10月～2011年10月收治的46例跟腱断裂患者，按照手术方式的不同分为甲乙2组，甲组采用简单端端吻合技术缝合21例、乙组采用肌腱加强修复治疗25例。术后对患者随访3个月、6个月、12个月，依据Karlsson标准回顾性分析比较治疗效果差异。结果：甲乙2组并发症发生率分别为0．09和0．12，疗效和再断裂率甲组优于乙组。结论：损伤2周后采用肌腱加强修复治疗并发症发生率较低，简单端端吻合缝合在治疗跟腱断裂疗效上优于肌腱加强修复。“,”Objective:To compare the effect of two treatment methods for acute Achilles tendon ruptures and find the remedy method . Methods:A total of 96 cases with acute Achilles ruptures were divided into two groups in accordance with the different operation mode into two groups.7 patients were operated on more than 2 weeks after the rupture, all with augmentation.Group A (21 cases) were treated by simple end-to-end suture;group B (25 cases) were treated by augmented repair .After the surgery, followed up the patients in 6 weeks to 6 months and evaluated the therapeutic effect according to Karlsson standard .Results:The assessment of ankle function of group A was with an excellent rate of 80 .44%, significantly better than that of the Group B (68.82%).Conclusion:The therapeutic effect of aug-mented repair in the treatment of old Achilles ruptures might be better than the other treatment method .For the fresh acute Achilles tendon ruptures, simple end~to~end suture should be superior to augmented repair at the outcome .