| 3-甲基腺嘌呤预处理对大鼠多发性创伤后急性肺损伤的保护作用 |
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Received:April 24, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 孙传秀 |
SUN Chuan-xiu |
大连医科大学附属第二医院, 辽宁 大连 116031 |
The Second Affiliated Hospital of Dalian Medical University, Dalian 116031, Liaoning, China |
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| 何盛为 |
HE Sheng-wei |
大连医科大学附属第二医院, 辽宁 大连 116031 |
The Second Affiliated Hospital of Dalian Medical University, Dalian 116031, Liaoning, China |
chinahsw@sohu.com |
| 方旭 |
FANG Xu |
大连医科大学附属第二医院, 辽宁 大连 116031 |
The Second Affiliated Hospital of Dalian Medical University, Dalian 116031, Liaoning, China |
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| 米立东 |
MI Li-dong |
大连医科大学附属第二医院, 辽宁 大连 116031 |
The Second Affiliated Hospital of Dalian Medical University, Dalian 116031, Liaoning, China |
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| 杜广宇 |
DU Guang-yu |
大连医科大学附属第二医院, 辽宁 大连 116031 |
The Second Affiliated Hospital of Dalian Medical University, Dalian 116031, Liaoning, China |
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| 孙雪刚 |
SUN Xue-gang |
大连医科大学附属第二医院, 辽宁 大连 116031 |
The Second Affiliated Hospital of Dalian Medical University, Dalian 116031, Liaoning, China |
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| 期刊信息：《中国骨伤》2015年28卷，第4期，第354-356页 |
| DOI：10.3969/j.issn.1003-0034.2015.04.014 |
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目的:探讨自体半腱肌及股薄肌肌腱移植加锚钉修补陈旧性严重瘢痕化跟腱断裂的临床疗效。
方法:自2010年4月至2012年10月,采用自体半腱肌及股薄肌肌腱移植加锚钉修补陈旧性严重瘢痕化跟腱断裂MyersonⅢ型患者26例,其中男19例,女7例;年龄22～47岁,平均32岁;手术时间为伤后3～12个月,平均7个月。所有患者术前患足跖屈力量减弱、单足提踵试验阳性。术后给予石膏外固定,进行常规康复治疗。术后观察其并发症,并采用Arner-Lindholm法进行疗效评价。
结果:所有患者获得随访,时间12～24个月,平均16个月。随访期内无跟腱再断裂、切口感染等并发症发生。根据Arner-Lindholm疗效评定标准,优15例,良11例。
结论:自体半腱肌及股薄肌肌腱移植加锚钉修补陈旧性严重瘢痕化跟腱断裂是一种有效的方法。 |
| [关键词]:跟腱 创伤和损伤 瘢痕 半腱肌 股薄肌 移植 |
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| Surgical treatment for chronic achilles tendon rupture and severe scarring |
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Abstract:
Objective:To evaluate the clinical efficacy of autologous semitendinosus and gracilis tendon grafting with anchor repair for the treatment of chronic achilles tendon rupture and severe scarring.
Methods:From April 2010 to October 2012, 26 patients with chronic achilles tendon rupture(with Myerson type Ⅲ) and severe scarring were treated with autologous semitendinosus and gracilis tendon grafting with anchor repair. There were 19 males and 7 females, with an average age of 32 years old (ranged, 22 to 47 years). The time from injury to surgery was from 3 to 12 months (7 months on average). The plantar flexion strength of all injuried feet attenuated and single heel rise test were positive in 26 cases before operation. Plaster immobilization and routine rehabilitation therapy were performed after operation. Clinical effects were evaluated by Arner-lindholm criterion and complications were observed after operation.
Results:All the patients were followed up from 12 to 24 months with a mean of 16 months. No complications such as achilles tendon re-rupture, wound infection, etc were found during follow-up period. According to the Arner-Lindholm standard, 15 cases got excellent results and 11 good.
Conclusion:Using autologous semitendinosus and gracilis tendon grafts with anchor repair to treat chronic achilles tendon rupture and severe scarring is a perfect surgical procedure. |
| KEYWORDS:Achilles tendon Wound and injuries Cicatrix Semitendinosus Gracilis Transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙传秀,何盛为,方旭,米立东,杜广宇,孙雪刚.3-甲基腺嘌呤预处理对大鼠多发性创伤后急性肺损伤的保护作用[J].中国骨伤,2015,28(4):354~356 |
| 英文格式: | SUN Chuan-xiu,HE Sheng-wei,FANG Xu,MI Li-dong,DU Guang-yu,SUN Xue-gang.Surgical treatment for chronic achilles tendon rupture and severe scarring[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(4):354~356 |
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