可吸收性防粘连膜在肌腱修复中的临床研究

目的 观察可吸收性防粘连膜预防肌腱修复术后粘连的临床应用效果。方法 将42例急性手部屈伸肌腱损伤患者分为两组，试验组用DL-乳酸可吸收性防粘连膜包绕肌腱缝合端，对照组不使用可吸收性防粘连膜，对损伤肌腱均采用5-0肌腱缝线行Kessler改良法修复，所有病例术后均行石膏托外固定。鼓励患者早期做手指活动，三周后拆除石膏托，行主动性手指屈伸锻炼。结果 术后随访时间2～10个月，平均4．6月。屈肌腱修复后的功能用TAM系统评定法评定，伸肌腱功能恢复用Miller分级法评定。试验组综合优良率为96．08％(49／51)，对照组综合优良率为51．11％(23／45)。结论 可吸收性防粘连膜临床使用时操作简单、方便，能够有效减轻肌腱吻合术后粘连形成，具有良好的临床应用前景。

Application of absorbable medical film in tendon repair

Objective To study the clinical effects of the absorbable medical film on adhesion prevention in tendon repair. Methods 42 case acute tendon injuries were randomized into two groups. One group applied tendon sew up and wrap poly d, 1-lactic acid (PDLLA) absorbable medical film, the other group without use PDLLA. All of tendon were repaired with 5-0 thread by modified Kessler's method, In plaster external fixation after operation. Finger exercise early; remove the plaster after 3 weeks. Results Fol-lowing-up time 2-10months, average 4.5 months. Bend tendon repair according to TAM system, experi-ment group good rate were 96.08%(49 / 51), compare group good rate were 51.11 %(23 / 45). Conclusion Absorbable medical film applied in clinic is handled easily can reduce the tendon adhesion effectively and with good prospects in clinic.