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肋骨骨折ZT胶粘合56例报告 被引量:5
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作者 张灿国 刘建德 高卫星 《河南外科学杂志》 1999年第2期138-139,共2页
为使肋骨骨折解剖复位,恢复肺功能,作者1995年1月至1998年6月采用X线定位,ZT胶注射粘合肋骨断端,治疗创伤性肋骨骨折56例177处,单根单处11例,多根单处29例78处,多根多处并胸壁软化反常呼吸16例88处。剖胸手术同时ZT胶粘接18例,一次性成... 为使肋骨骨折解剖复位,恢复肺功能,作者1995年1月至1998年6月采用X线定位,ZT胶注射粘合肋骨断端,治疗创伤性肋骨骨折56例177处,单根单处11例,多根单处29例78处,多根多处并胸壁软化反常呼吸16例88处。剖胸手术同时ZT胶粘接18例,一次性成功率97.18%(172/177),活动后分离,再次注胶3例5处,占2.82%(5/177)。粘接后立即疼痛减轻,骨擦感消失,反常呼吸得到纠正,呼吸困难明显改善,咳痰有力,活动自如,本组无一例感染、畸形及死亡 ZT胶粘接迅速,方法简便,安全可靠,痛苦小、疗效好,是目前肋骨骨折理想的治疗方法。 展开更多
关键词 医用胶 肋骨 粘合骨折
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Octyl-a-cyanoacrylate adhesive in the treatment of tibial transverse fracture in rabbits 被引量:3
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作者 吕波 屠重琪 +1 位作者 裴福兴 刘雷 《Chinese Journal of Traumatology》 CAS 2005年第4期240-244,共5页
Objective: To observe the effect of octyl-a-cyanoacrylate upon bone healing and its degradation in vitro after middle tibial transverse fracture in rabbits, and to establish treatment of higher efficacy with the appli... Objective: To observe the effect of octyl-a-cyanoacrylate upon bone healing and its degradation in vitro after middle tibial transverse fracture in rabbits, and to establish treatment of higher efficacy with the application of octyl-a-cyanoacrylate.Methods: Middle tibial transverse fracture model of New Zealand rabbits was established. In the experimental group, internal fixation with 2 mm Kirschner wires was performed and the broken ends were fixed with octyl-a-cyanoacrylate. In the control group, only internal fixation with 2 mm Kirschner wires was conducted. Animals were killed at preset time intervals of 2, 4, 6, 8, 10 and 12 weeks postoperatively and samples were harvested.Results: Two weeks after operation, clear fracture lines were observed in both the experimental and the control groups. Fibrous soft tissue connection was noted between the broken ends and there was soft tissue adhesion around the fracture site. There was no callus formation and the broken ends were surrounded by adhesive soft tissues. Obvious external callus formation was confirmed at 8 weeks after operation in both groups with partial disappearance of fracture lines. Ten and twelve weeks after the operation, fracture lines disappeared completely and there was obvious external callus formation and bone union. In the fourth week, fibrous cells and chondrocytes were found to grow into the colloid and surround it at the 6th week. The adhesive material was degraded and gradually absorbed at the 8th week. Chondrification was observed.Conclusions: Two weeks after fixation for tibial fracture in rabbits, octyl-a-cyanoacrylate begins in vivo degradation. Chondrocytes and fibrocytes gradually grow into the degradation area and surround the adhesive material, which broke into pieces at 8 weeks. Complete degradation and disappearance of the adhesive material is present between 10 and12 weeks. No barrier effect hampering fracture healing is noted. 展开更多
关键词 octyl-a-cyanoacrylate FRACTURES fracture healing degradation
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