摘要
报道用犬的带筋膜蒂的桡侧屈腕肌腱修复屈趾浅肌腱缺损的实验研究,并与不带蒂的游离腱移植进行了比较。术中进行了筋膜和腱的氧分压测定,术后进行了大体、组织学和超微结构的观察。结果表明:①带有血液供应的肌腱移植,将传统的肌腱移植愈合过程转化为单纯的肌腱断端愈合过程,缩短了移植肌腱的愈合时间;②用筋膜组织包绕肌腱缝合处可以防止粘连的形成,筋膜组织可发生滑膜样变,形成光滑面,以减少肌腱滑动的阻力,且带血运的筋膜组织滑膜样变发生早。
This paper reported the method tendon reconstruction on dogs. Using the pedicled fascio-tendon graft, the flexor tendon system was constructed, and comparative study was made between the vascularized fascio-tendon graft and the free fascio-tendon graft by means of oxygen tension measurement, stereology, histology and ultra-mieroseoppy. The results showed: 1. vascularized graft changed the course of healing of the conventional graft into a simplified tendon stump healing course which shortened the healing time, and reduced the formation of peritendinous adhesion. 2. the fascia tissue could be transformed into the synovial-like tissue 6 weeks postoperatively under the stimulation of gliding pressure of the tendon. It was conclude that this was a new and better method in reconstructing the severely damaged flexor tendon system.
出处
《中国修复重建外科杂志》
CAS
CSCD
1992年第2期105-108,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
屈肌腱
粘连
肌腱移植
血运
Tendon reconstruction Vascularized fascio-tendon graft
