医用可吸收膜和玻璃酸钠在肌腱修复术中的应用效果分析  

The Analysis of Application Effect of Medical absorbable membrane and Sodium hyaluronate in Tendon repairing operation

作　　者：田明波[1] 李守峰[1] 

机构地区：[1]郑州人民医院,河南郑州450003

出　　处：《中医正骨》2011年第8期17-19,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察医用可吸收膜和玻璃酸钠在肌腱修复术中的应用效果。方法:随机将手部Ⅱ区指屈肌腱损伤患者分为医用可吸收膜组(A组)、玻璃酸钠组(B组)和对照组(C组),观察测量术后3周、8周和12周时手指总活动度(TAM),比较三组差异。结果:术后3周拆除石膏,三组患者TAM优良率之间差异无统计学意义(P>0.05),术后8周测量TAM医用可吸收膜组和玻璃酸钠组均明显优于常规对照组(P<0.05),其中医用可吸收膜组又优于玻璃酸钠组(P<0.05);术后12周测量TAM医用可吸收膜组和玻璃酸钠组仍明显优于对照组(P<0.05)。结论:医用可吸收膜和玻璃酸钠均可有效防止肌腱粘连,早期效果前者优于后者,建议肌腱修复术中应用防粘连材料,医用可吸收膜可能是更好的选择。Objective：To observe application Effect between Medical absorbable membrane and Sodium hyaluronate in Tendon repairing.Methods：From February 2008 to March 2010,to divide 114 cases of Flexor tendon injury in zone Ⅱ to three groups randomly;group of Medical absorbable membrane（group A）,group of Sodium hyaluronate（group B）and the control group（group C）;to Measure and Compare change of the total active movement（TAM） after 3 weeks、8 weeks and 12 weeks.Results：No statistical differences were found in terms of TAM among three groups after 3 weeks（P0.05）;group A and group B were superior over group C in change of TAM after 8 weeks（P0.05）;In addition group A were superior over group B（P0.05）;The same conclusion was obtained after 12 weeks.Conclusion：Medical absorbable membrane and Sodium hyaluronate have good clinic curative effects in Tendon repairing to prevent Tendon adhesion;the former is better than the latter;to suggest using Anti-adhesion materials in Tendon repairing operation,Medical absorbable membrane is the best choice.

关 键 词：腱损伤 肌腱修复 粘连 效果 

分 类 号：R687.2[医药卫生—骨科学]