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[加速肌腱愈合及预防肌腱粘连的研究进展]

[The research progress of accelerating tendon healing and preventing tendon adhesion].

作者信息

Shi Jixiang

机构信息

Auxiliary Longhua Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, PR China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 May;19(5):400-3.

Abstract

OBJECTIVE

To study the status quo of the methods and materials for accelerating the tendon healing and preventing the tendon adhesion as to provide an essential reference for future research and clinical application.

METHODS

The recent articles on methods of accelerating tendon healing and preventing tendon adhesion were extensively reviewed.

RESULTS

Tendon healing was decided by the co-effects of both endogenous and exogenous ways, and the former was more important. It was affected by the tendon sheath, vincula tendinum and synovial fluid as well. Tendon adhesion was mostly caused by excessive participation of exogenous healing factors and serious damage of the situations around the tendon. Tendon healing was accelerated by methods like repairing, reconstruction of peri-tendon tissues, electric stimulation, physiotherapy, adding herbs or growth factors, and gene intervention. Tendon adhesion was reduced or prevented by methods like the restoration of tendon sheath, using substitutions, adding herbs/drugs, and improving suturing techniques.

CONCLUSION

Via the appropriate methods and techniques combining the Chinese traditional and modern medicine, tendon healing can be accelerated and the quality of tendon healing can be improved.

摘要

目的

研究加速肌腱愈合及预防肌腱粘连的方法和材料现状,为今后的研究及临床应用提供必要参考。

方法

广泛查阅近期关于加速肌腱愈合及预防肌腱粘连方法的文章。

结果

肌腱愈合由内源性和外源性途径共同作用决定,前者更为重要。它还受腱鞘、腱纽和滑液影响。肌腱粘连主要由外源性愈合因子过度参与及肌腱周围情况严重受损所致。通过修复、重建肌腱周围组织、电刺激、物理治疗、添加草药或生长因子以及基因干预等方法可加速肌腱愈合。通过修复腱鞘、使用替代物、添加草药/药物以及改进缝合技术等方法可减少或预防肌腱粘连。

结论

通过结合传统医学和现代医学的适当方法和技术,可加速肌腱愈合并提高肌腱愈合质量。

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