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保存同种异体硬脊膜重建腱鞘的初步研究 被引量:2

A Primary Study on Reconstructing Epitenon with Stored Allogeneic Dura Mater
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摘要 目的:通过实验寻找新的腱鞘修复材料。方法:28 只白兔分为2 组,于右后肢2 、3 趾屈肌腱Ⅱ区切除腱鞘,造成肌腱损伤,对照组腱鞘不予修复,实验组用酒精保存的异体硬脊膜重建腱鞘,术后2 、4 、8 、12 周行大体和光镜观察,8周时还行肌腱粘连等级和屈趾功能测定。结果:对照组腱周形成致密粘连;实验组新建腱鞘逐渐接近正常,腱周间隙明显,屈趾功能优于对照组( P< 0 .01) 。结论:保存的同种异体硬脊膜可以作为重建腱鞘的材料。 Objective: To find a new material for epitenon repairing in experimental study.Methords:48 rabbits were divided into 2 groups.The flexor tendon epitenons were removed and the tendons were traumatized at 'no man's area' in second and third toes of right hind legs.The epitenons were unrepaired in control group and reconstructed with stored homologous dura mater in studied group.The specimens were observed grossly and histologically at 2、4、8 and 12 weeks postoperatively.The grades of adhesion and flexor function of injured tendon were also evaluated at 8 weeks.Results:In the studied group,the grafted dura mater turned into an epitenon-like tissue gradually.There was an abvious gap around the tendon.The flexor function of toes in this group was significantly superior to those in the control group(P<0.01).Severe peritendoneal adhesions were formed in control group.Conclusion:The stored allogeneic dura mater can be served as a new material for repairing epitenon.
出处 《中国矫形外科杂志》 CAS CSCD 2000年第1期51-52,共2页 Orthopedic Journal of China
关键词 硬脊膜 肌腱 腱鞘 粘连 Dura mater Flexor tendon Epitenon Adhesion
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参考文献3

  • 1牟善霄,葛文学,成得元,刘玉祥,赵名春.大隐静脉修复鞘管防止肌腱粘连的实验研究[J].中华骨科杂志,1997,17(7):445-447. 被引量:14
  • 2〔2〕 Siddiqi,NA,Hanada Y,Tde T,et al.Effects of hydroxyapatite and alumina sheaths onpostoperative peritendinous in chickens[J].J Appl Biomater,1995,6(1):43~53.〔3〕 Laun A,Tonn JC,Jerusalem C.Comparative study of lyophilized human dura mater andlyophilized bovine pericardium as dural substitutes in neurosurgery[J].ActaNeurochir(wien).1990,107:16~21.
  • 3〔4〕 Fiorics JV,William SR,James PL,et al.Femoral vessel coverage with dura materafter inguinofemoral.lymphadenectomy[J].Gynecol Oncol,1991,42:217~221. 收稿:1999-02-22 修回:1999-07-19

二级参考文献1

  • 1邵新中,中华外科杂志,1993年,31卷,56页

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