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肩袖撕裂修补术后腱骨愈合的研究进展

Hits: 1963 Download times: 1228 Received:February 25, 2018

作者	Author	单位	Unit	E-Mail
曹寅生	CAO Yin-sheng	湖南中医药大学第一附属医院骨伤科, 湖南长沙 410007	Department of Orthopaedics and Trauma, the First Hospital Affiliated to Hunan University of Traditional Chinese Medicine, Changsha 410007, Hunan, China	573503083@qq.com
万云峰	WAN Yun-feng	湖南中医药大学硕士研究生, 湖南长沙 410007

期刊信息：《中国骨伤》2018年31卷，第12期，第1172-1179页

DOI：10.3969/j.issn.1003-0034.2018.12.020

肩袖撕裂是导致肩关节疼痛和活动受限的常见疾病，随着手术技术的进步，关节镜下修补成为主流方式。尽管如此，术后依旧有很高的再撕裂率，而腱骨界面的愈合不佳主要原因是腱骨界面未能形成正常组织结构反而形成瘢痕化，因腱骨界面的组织学改变导致其生物力学性能下降，易再次发生撕裂。近年来，越来越多的学者致力于生物学、生物力学的研究，希望能够加速腱骨愈合的进程，恢复腱骨界面的正常组织结构，本文就影响腱骨愈合常见4个因素（炎症反应、缓慢而有限的骨长入、不当的机械刺激、不足的干细胞）及物理治疗的研究进展进行综述。

[关键词]:肩袖撕裂腱损伤干细胞综述文献

Progress on tendon-to-bone healing after rotator cuff repair

Abstract:Rotator cuff tear is a common disease that causes shoulder pain and limitation of activity. Rotator cuff repair with arthroscope has become the mainstream method with advance in surgical techniques. In spite of this,the highly rate of retear after surgery mainly because the tendon to bone interface form scar tissue rather than native tissue. Biomechanical of the interface is so poor to retear because of the change of Histological. In recent years,more and more researchers are devoted to the study of biology and biomechanical for improving the process of tendon to bone healing and restoring the original structure at the interface,This article reviews the research progress with four factors(inflammation,slow or limited bone ingrowth into the tendon graft,Mechanical stimulation,scant stem cell) and physiotherapy that affect tendon to bone healing.

KEYWORDS:Rotator cuff tears Tendon injuries Stem cell Review literature

引用本文，请按以下格式著录参考文献：

中文格式:	曹寅生,万云峰.肩袖撕裂修补术后腱骨愈合的研究进展[J].中国骨伤,2018,31(12):1172~1179
英文格式:	CAO Yin-sheng,WAN Yun-feng.Progress on tendon-to-bone healing after rotator cuff repair[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(12):1172~1179

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