摘要
目的：观察大隐静脉替代腱周组织预防伸肌腱粘连的临床疗效。方法正常本地鸡30只随机分三组。A组：肌腱断端自然愈合；B组：断端采用大隐静脉包裹；C组：断端采用大隐静脉反向包裹（血管内膜翻转向外，血管外膜与肌腱断端接触）。术后6周将鸡处死，解剖伸肌腱，对各项指标观察测定。结果B组肌腱吻合口处的活动度、水肿度、粘连面积优于其他两组；胶原纤维及纤维母细胞连接、胶原纤维排列方向大部分一致，沿肌腱纵轴排列，有小毛细血管生成。结论以鸡建立实验模型，使用自体大隐静脉正向包裹肌腱断端，可以较好地发挥大隐静脉屏障作用，减轻肌腱粘连。
Objective To observe the effect of surrounding the tendon end with great saphenous vein to prevent the adhesion of extensor tendon. Methods 30 normal domestic chicken were divided into 3 groups at random. Group A： Tendon end of natural healing. Group B： end was surrand the great saphenous vein. Group C： end was reverse packaged by the great saphenous vein （vascular intima turn to outside, blood vessels, outer membrane with the tendon broken contact）. After 6 weeks chickens were killed, anatomical extensor tendon was examined by, to measure the indicators. Results Tendon anastomosis in group B, edema degree, mobility in the adhesion area is better than the other two groups, collagen fibers and fibroblasts, collagen fiber orientation is consistent, the vertical axis is arranged along the tendons, have small capillaries angiogenesis. Conclusion With chicken as experimental models, the use of autogenous great saphenous vein as package, can better play a role of great saphenous vein barrier.
出处
《实用手外科杂志》
2015年第1期71-73,共3页
Journal of Practical Hand Surgery
基金
宁德市科学技术计划项目课题（项目编号：20090056）
关键词
伸肌腱
肌腱粘连
大隐静脉
Extensor tendon
Adhesion of tendon
Great saphenous vein
