伸指肌腱损伤后交指样显微编织缝合术加玻璃酸钠防粘连治疗的实验研究  

Experimental study of the injury of extended tendon through cross-finger micro-weave sutue plus sodium hyaluronate to prevent adhesion

作　　者：姜大伟[1,2] 贾全章[1] 侯明晓[1] 徐爽[1] 肖光[1] 陈阳[1] 李东军[2] 

机构地区：[1]解放军第208医院全军骨科中心,长春130062 [2]延边大学医学部,延吉133000

出　　处：《中国矫形外科杂志》2009年第14期1090-1092,共3页Orthopedic Journal of China

摘　　要：[目的]通过动物实验观察交指样显微编织缝合术加玻璃酸钠技术在伸指肌腱损伤治疗中的效果。[方法]将28只莱亨鸡随机分为4组,A组采用双十字缝合术治疗,B组采用双十字缝合法+玻璃酸钠术治疗,C组采用交指样显微编织缝合术治疗,D组采用交指样显微编织缝合法+玻璃酸钠术治疗。术后6周行肉眼和显微镜下形态学观察、组织学观察、生物力学测定,并对结果进行统计学分析。[结果]交指样显微编织缝合法加玻璃酸钠修复的肌腱术后外形良好无结节,腱周形成假膜,腱细胞多排列规则成束状,平均最大载荷(70.9±5.68)N,明显大于其他组,经方差分析(P<0.001)差异有显著意义。[结论]交指样显微编织缝合术加玻璃酸钠技术是治疗伸指肌腱损伤的疗效确切的新技术。[ Objective] To observe the effect of cross-finger-like micro-weave suture plus sodium hyaluronate technology in the treatment of extensor tendon injury by the animal experiments. [ Method] Twenty-eight Leghorn chickens were randomly divided into four groups, double-cross stitching was used in group A in the treatment of extensor tendon injury, double-cross stitching plus sodium hyaluronate in group B, cross-finger-like micro-braided suture in group C, cross-finger-like micro-braided suture plug sodium hyaluronate surgery in group D. Six weeks after surgery, morphological observation, histological observation and biomechan- ical determination were done by using the naked eye and microscope, as well as the results of the experiments were statistically analyzed. [ Result] In the group of the cross-finger-like micro-weave suture plus sodium hyaluronate, tendon grew in good shape without nodules after surgery, pseudome was formed around tendon, tendon cells mostly arranged regularly in bunches, maximum load was （70.9 ±5.68 ） N on average,it was significantly larger than those in other groups and there was a significant difference by the analysis of variance （P 〈0. 001 ）. [ Conclusion] The treatment technology of cross-finger-like micro-weave suture plus sodium hyaluronate is a new technology that has an exact effect in treating the extensor tendon injury.

关 键 词：伸指肌腱损伤 缝合技术 玻璃酸钠 动物实验 

分 类 号：R687.2[医药卫生—骨科学]