腱鞘修复对屈指肌腱损伤修复影响的实验研究

The Effect of Flexor Sheath Integrity on Flexor Tendon Repair: An Experimental Study

本文报告了对兔进行的①切除腱鞘;②从侧面切开腱鞘;③从掌面正中切开腱鞘等3种手术后,吻合后的不全横断深腱与腱鞘的愈合情况。术后各术趾的活动范围、腱滑动距离在3种手术问无统计学差异;组织学显示3种方法中,3周时深腱与鞘间粘连最明显,以后减少。说明在一定条件下,不修复腱鞘,也可有较好的手术效果。

3 kinds of methods of flexor sheath management have been compared, using rabbits as the experimental model. The result shows that there is no significant differences in function and histology among the sheath excision group, midlateral incision and repair group and palmar midline incision and repair group 1 week, 3 week, 6 week postoperatively. We conclude that closure of the sheath after primary flexor tendon repair does not appear to be necessary.