腱鞘内肌腱与腱鞘外肌腱移植的实验研究  

Experimental study on transplantation inside and out-side tendou sheath

作　　者：胡必寺[1] 顾玉东[1] 

机构地区：[1]上海医科大学华山医院手外科研究所,上海第一人民医院整形外科

出　　处：《中华外科杂志》1995年第9期520-522,共3页Chinese Journal of Surgery

摘　　要：实验应用兔肌腱移植模型，研究腱鞘内肌腱、腱鞘外肌腱移植后，ＰＩＰ关节活动度和移植腱形态学变化。发现腱鞘内肌腱移植，术后早期活动，腱内大部分细胞成活，没有粘连形成；腱鞘外肌腱移植后，细胞增生，粘连广泛。ＰＩＰ关节的活动度，腱鞘内肌腱比腱鞘外肌腱大。提示肌腱移植有供体组织特异性。腱鞘内肌腱的滑膜层，对于防止肌腱移植术后粘连的形成，起重要作用。AbstractThe range of motion of PIP and morphologicalchanges of tendon grafts were studued after inside and outside tendon sheath grafting in rabbits. It was foundthat the inside tendon sheath grafting together withearly postoperative mobilization healed without adhe-sion,and most of the cells remained viable.After out-side tendon sheath grafting,the tendon cells proliferat-ed with extensive adhesions. The range of PIP motionwas greater after inside tendon sheath grafting thanthat after outside tendon sheath grafting,The resultssuggest that tendon grafting is donor-tissue-specificand the svnovial layer of inside tendon sheath plays animportant role in preventing adhesion formation.

关 键 词：肌腱移植 肌腱缺损 屈指肌腱 

分 类 号：R686.105[医药卫生—骨科学]