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[采用静脉进行腱鞘替代及双相屈肌腱成形术对屈肌腱损伤的实验性治疗。一种重建腱周滑动面的新方法(作者译)]

[Experimental treatment of the lesion of the flexor tendon, by means of tendon sheath substitution using a vein and diphasic flexor tendon plasty. A new method for the reconstruction of peritendinous slipping surfaces (author's transl)].

作者信息

Bíró V, Horváth A, Herber E, Somogyi L, Lukács L

出版信息

Langenbecks Arch Chir. 1976 Jul 23;341(2):141-50. doi: 10.1007/BF01262785.

Abstract

In dog experiments the surgical treatment of flexor tendons is discussed by the authors: the lesions of the tendons have been repaired according to the method of Paneva-Holevitch, with biphasic flexor tendon plasty; and for the substitution of the injured tendon sheath and the peritendinous slipping surfaces freely transplanted, autologous vein has been used. In the preparations removed after 8 weeks both the macroscopic and microscopic examinations showed satisfactory vascularity of the vein used as tendon sheath and of the tendinous tissue, as well as normal tissue structure. Between the vein and the tendon only small, ligamentous adhesions developed. On the basis of the good results obtained in experimental examinations the method is applied by the authors also in men with satisfactory result.

摘要

在犬类实验中,作者讨论了屈肌腱的手术治疗:根据帕内娃 - 霍列维奇方法修复肌腱损伤,采用双相屈肌腱成形术;对于受损腱鞘和腱周滑动面的替代,使用自体静脉进行自由移植。在8周后取出的标本中,宏观和微观检查均显示用作腱鞘的静脉和肌腱组织的血管形成良好,组织结构正常。静脉与肌腱之间仅形成了微小的韧带粘连。基于实验检查获得的良好结果,作者也将该方法应用于人类,且效果令人满意。

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