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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.

DOI:10.1007/BF01262785
PMID:979477
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。

相似文献

1
[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)].[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)]
Langenbecks Arch Chir. 1976 Jul 23;341(2):141-50. doi: 10.1007/BF01262785.
2
[Experimental tendon sheath formation by free transplantation of a long vein segment (comparative study of adhesions formed around free grafts and pedicled grafts)].
Magy Traumatol Orthop Helyreallito Seb. 1976;19(2):130-7.
3
[Experimental tendon sheath reconstruction using autologous vein transplants].
Handchir Mikrochir Plast Chir. 1985 Jan;17(1):14-7.
4
[Experimental reconstruction of flexor tendon injury by substitution of the tendon sheath using a vein, and 2-stage flexor tendon surgery a new surgical procedure for the reconstruction of the peritendinous gliding surfaces].
Magy Traumatol Orthop Helyreallito Seb. 1975;18(2):143-51.
5
[Experimental single-stage reconstruction of the tendon sheath and flexor tendon (free tendon graft, using a vein for sheath on the flexor tendon in dogs)].[犬屈指肌腱腱鞘及屈指肌腱的实验性一期重建(游离肌腱移植,采用静脉作为屈指肌腱的腱鞘)]
Magy Traumatol Orthop Helyreallito Seb. 1976;19(1):52-9.
6
[Substitution of the tendon sheath by autologous vein in the "no-man's land" of the hand].[手部“无人区”自体静脉替代腱鞘]
Magy Traumatol Orthop Helyreallito Seb. 1975;18(1):42ł.
7
[Experimental reconstruction of flexor tendon injuries with a free transplant tendon-tendon sheath unit].[应用游离移植肌腱-腱鞘单位对屈指肌腱损伤进行实验性重建]
Handchir Mikrochir Plast Chir. 1985 Nov;17 Suppl:8-12.
8
[A new method for the reconstruction of injured flexor tendons of the hand: tendons and tendon sheath reconstruction in 2 stages].[一种手部屈指肌腱损伤重建的新方法:分两期进行肌腱与腱鞘重建]
Handchir Mikrochir Plast Chir. 1986 Nov;18(6):339-42.
9
Effects of hydroxyapatite and alumina sheaths on postoperative peritendinous adhesions in chickens.羟基磷灰石和氧化铝鞘对鸡术后肌腱周围粘连的影响。
J Appl Biomater. 1995 Spring;6(1):43-53. doi: 10.1002/jab.770060107.
10
[Reconstruction of the injured flexor tendon in the proximal half of the "no man's land" by a modified method (tendon sheath reconstruction using a vein graft)].[改良方法(采用静脉移植重建腱鞘)修复“无人区”近侧半区的屈指肌腱损伤]
Magy Traumatol Orthop Helyreallito Seb. 1976;19(1):60-3.

本文引用的文献

1
Experimental tendon repair within the flexor tunnels; use of polyethylene tubes for improvement of functional results in the dog.屈肌管内的实验性肌腱修复;使用聚乙烯管改善犬的功能结果
Surgery. 1949 Aug;26(2):181-98.
2
Construction of artificial tendon sheaths in dogs.犬人工腱鞘的构建
Am J Surg. 1961 Mar;101:355-6. doi: 10.1016/0002-9610(61)90236-7.
3
Freeze-dried arteries used as tendon sheaths.用作腱鞘的冻干动脉。
Surg Gynecol Obstet. 1955 Nov;101(5):615-20.
4
Two-stage tenoplasty in injury of the flexor tendons of the hand.
J Bone Joint Surg Am. 1969 Jan;51(1):21-32.
5
Flexor-tendon reconstruction in severely damaged hands. A two-stage procedure using a silicone-dacron reinforced gliding prosthesis prior to tendon grafting.严重损伤手部的屈肌腱重建。在肌腱移植前采用硅酮-涤纶增强滑动假体的两阶段手术。
J Bone Joint Surg Am. 1971 Jul;53(5):829-58.
6
Experimental investigations on the use of a hallograft (Supramid) in tendon repair operations.关于同种异体移植材料(Supramid)在肌腱修复手术中应用的实验研究。
Panminerva Med. 1969 May;11(5):221-36.
7
The vascular anatomy within normal tendons, divided tendons, free tendon grafts and pedicle tendon grafts in rabbits. A microradioangiographic study.
J Bone Joint Surg Br. 1973 May;55(2):369-89.
8
[Experimental tendon sheath formation from vascular tissue. Studies concerning the fate of tendon transplants].[由血管组织进行实验性腱鞘形成。关于肌腱移植命运的研究]
Bruns Beitr Klin Chir (1971). 1974 Jun;221(4):319-26.