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同种异体肌腱移植的实验研究与临床应用

[Experimental research and clinical application of allogenic tendon grafting].

作者信息

Zhang Y, Yang K, Zhu W

机构信息

Beijing Jishutan Hospital.

出版信息

Zhonghua Wai Ke Za Zhi. 1995 Sep;33(9):539-41.

PMID:8731872
Abstract

Autologous free tendon grafting is a very common treatment for tendon defect of the hand. However, it is difficult to obtain autologous free tendon grafts to repair patients with multiple tendon defects. We described the treatment using deep-freeze-stored tendon with MEM and the establishment of clinical tendon bank. Allograft tendons were used successfully in 15 patients clinically. In the experiments, we also performed a series of studies on immunity and repairing ability of the allogenic tendon grafts. The results indcated that the treatmnet using deep-freeze-stored tendon with MEM could reduce the immunogenicity of allograft. There was no significant difference between autograft and deep-freeze stored allograft 24 weeks after operation, but there was a significant difference in the fresh allograft 3 weeks after grafting. Based on animal experiment, we established a clinical tendon bank. Deep-freeze-stored allogenic tendon grafts can be used successfully in place of autologous tenden grafts in treatment of tendon defect of the hand.

摘要

自体游离肌腱移植是手部肌腱缺损非常常见的治疗方法。然而,对于有多根肌腱缺损的患者,获取自体游离肌腱移植存在困难。我们描述了使用含MEM的深冻保存肌腱的治疗方法以及临床肌腱库的建立。同种异体肌腱在15例患者临床中成功应用。在实验中,我们还对同种异体肌腱移植的免疫性和修复能力进行了一系列研究。结果表明,使用含MEM的深冻保存肌腱的治疗方法可降低同种异体移植的免疫原性。术后24周自体移植和深冻保存的同种异体移植之间无显著差异,但在移植后3周新鲜同种异体移植中有显著差异。基于动物实验,我们建立了临床肌腱库。深冻保存的同种异体肌腱移植可成功用于替代自体肌腱移植治疗手部肌腱缺损。

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