补片技术对巨大肩袖撕裂术后腱骨愈合的研究进展  

Research progress on patch technology for tendon-bone healing after massive rotator cuff tear surgery

作　　者：姚雨婧 丁凯[1] 姚晨[2] YAO Yujing;DING Kai;YAO Chen(Nanjing University of Chinese Medicine,Jiangsu,Nanjing 210023,China;Department of Orthopedics and Traumatology,the Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu,Nanjing 210029,China)

机构地区：[1]南京中医药大学,江苏南京210023 [2]南京中医药大学附属医院骨伤科,江苏南京210029

出　　处：《中国医药科学》2024年第10期43-47,共5页China Medicine And Pharmacy

摘　　要：肩袖撕裂是最常见的肩部损伤之一,影响超过40%的60岁以上的患者,随着微创技术的发展,肩关节镜下肩袖修复手术对于缓解肩关节疼痛、恢复肩关节功能具有良好的临床疗效。巨大肩袖撕裂是指撕裂部位>5 cm的损伤或肩袖部位包含两根及以上肌腱断裂的肩袖撕裂,一般多需要手术治疗。研究表明,肩袖补片可提高术后肩袖组织的力学性能,同时促进腱骨界面的愈合潜能,改善肩关节整体功能,增加肩袖肌腱厚度,增加肩关节活动度,降低再撕裂率。随着组织工程学的不断进步,肩袖补片的研究与应用正逐渐成为巨大肩袖撕裂修补中的热门领域,本文对补片技术对巨大肩袖撕裂术后腱骨愈合的应用及未来发展方向进行综述。Rotator cuff tear is one of the most common shoulder injuries,affecting over 40%of patients over the age of 60.With the development of minimally invasive technology,arthroscopic rotator cuff repair surgery has good clinical efficacy in relieving shoulder pain and restoring shoulder function.Massive rotator cuff tear refers to an injury with a tear greater than 5 cm in length or a rotator cuff tear containing two or more tendon ruptures,which generally requires surgical treatment.Research has shown that rotator cuff patches can improve the mechanical properties of postoperative rotator cuff tissue,promote the healing potential of the tendon-bone interface,improve the overall function of the shoulder joint,increase the thickness of the rotator cuff tendon,increase the mobility of the shoulder joint,and reduce the rate of re-tearing.With the continuous progress of tissue engineering,the research and application of rotator cuff patches are gradually becoming a hot field in the repair of massive rotator cuff tears.This article reviews the application and future development direction of patch technology for tendon-bone healing after massive rotator cuff tear surgery.

关 键 词：巨大肩袖撕裂 腱骨愈合 补片材料 组织工程 

分 类 号：R687.4[医药卫生—骨科学]