肩袖撕裂的组织学及电子显微镜观察  

Histological and electron microscopic study of rotator cuff tear

作　　者：路奎元[1,2] 段秀和 徐红兵[1,2] 文良元 王英民[1,2] 黄公怡 广钿和志[1,2] 信原克哉 

机构地区：[1]北京医院骨科 [2]日本信原病院及生物力学研究所

出　　处：《中华外科杂志》1998年第9期556-558,I101,共4页Chinese Journal of Surgery

摘　　要：目的观察肩袖的损伤过程及超微结构。方法３６例肩袖撕裂的标本分别制成组织切片和电镜超薄切片，比较手术所见与肩袖的病理变化。结果肩袖退变分别由滑膜和肌腱本身发生。肌腱的修复分为两种类型：Ⅰ型通过滑膜组织修复；Ⅱ型通过肌腱本身修复。结论肌腱虽然有自身修复能力，但肌腱全层和深层的断裂难以完全修复。Objective To understand the changes of rotator cuff during tear and observe the pathologic and ultramicroscopic structure of rotator cuff. Method Histological and ultra thin slides of samples of 36 cases of rotator cuff were made. Result The degeneration of rotator cuff happened in synovium side, and then extended to the middle and deep sides of tendon. The deep side of cuff tendon could degenerate without synovium.The repair of tendon could be achieved with two types of healing. Conclusion It would be difficult to achieve full repair when complete tear and deep side tear occurred to the rotator cuff.

关 键 词：肩损伤 肩袖撕裂 超微结构 电子显微镜 

分 类 号：R686.02[医药卫生—骨科学] R684.7[医药卫生—外科学]