摘要
背景:跟腱为人体足踝部重要结构,诸多因素导致跟腱断裂发生呈增多趋势。目的:通过分析研究促进肌腱功能恢复的相关因素,总结最新的研究进展,旨在为临床选择适宜的治疗方法提供科学的思路。方法:通过检索PubM ed数据库、中国知网(CNKI)等数据库,以"肌腱损伤(Achilles tendon injure);愈合(union);功能恢复(functional recovery)"为检索词。结果与结论:当今关于肌腱修复、防止肌腱粘连、促进肌腱愈合的相关研究中,主要在手术方式微创化、缝合方法改进和腱鞘修复及替代方面,保守治疗、开放手术、微创手术以及缝合方法、制动方式作为最重要、最直接的治疗方法,新观念层出不穷。手术方式、缝合方法需综合患者个人体质、年龄因素及个人需求等因素全面考虑;短腿石膏跖屈位固定较长腿石膏跖屈位固定更优;应力刺激既促进跟腱的愈合,又减少跟腱粘连和关节僵硬,但如何有效进行、应力愈合后肌腱强度如何,都需要进一步探索。
BACKGROUND： Achilles tendon is an important structure of the ankle. More and more factors result in an incresing incidence of Achilles tendon rupture. OBJECTIVE： To summarizes the latest research progress in the related factors promoting tendon healing, thus providing a scientific basis for choosing an appropriate treatment strategy. METHODS： A computer-based online search was conducted in Pub Med and CNKI databases using the keywords of ＂Achilles tendon injury, union and functional recovery＂ in English and Chinese, respectively. RESULTS AND CONCLUSION： Current studies addressing tendon repair, anti-adhesion of tendon and promoting tendon healing mainly focus on the improvement in the minimally invasive surgery, suture methods and the repair and replacement of tendon sheath. The conservative treatment, traditional surgery, minimally invasive surgery, the suture method, and immobilization have been the most important and direct treatments with new ideas emerging endlessly. Selection of surgical approach and suture method depends on individual physical conditions, age and individual requirements. Repair effect of fixation with short leg plaster cast at plantar flexion position is superior to long legs. Stress stimuli both promote the healing of the Achilles tendon, and reduce tendon adhesion and anchylosis. However, how to effectively promote tendon healing and tendon strength after stress still needs further research.
出处
《中国组织工程研究》
CAS
北大核心
2016年第46期6978-6985,共8页
Chinese Journal of Tissue Engineering Research
基金
内蒙古自治区自然科学基金项目(2016MS0822)
内蒙古自治区科技厅科技计划项目(kjt15sf16)~~
