CAJ | 학술논문

【目的】观察透明质酸钠预防肌腱粘连的临床效果。【方法】42例共65根手指肌腱断裂行一期修复，术中采用改良Kessler法缝合肌腱，在肌腱鞘管内注入医用透明质酸钠2mL，缝合皮肤。术后观察手指活动度。【结果】经过平均5个月的随访，按手指总主动活动度（TAM）标准评定疗效，疗效优良者44根，优良率为77．2％。2指疗效差者半年后行肌腱松解术，功能恢复较好。【结论】透明质酸钠具有预防或减轻肌腱粘连的作用，是一种较为理想的预防肌腱粘连的生物材料。
【목적】관찰투명질산납예방기건점련적림상효과。【방법】42례공65근수지기건단렬행일기수복，술중채용개량Kessler법봉합기건，재기건초관내주입의용투명질산납2mL，봉합피부。술후관찰수지활동도。【결과】경과평균5개월적수방，안수지총주동활동도（TAM）표준평정료효，료효우량자44근，우량솔위77．2％。2지료효차자반년후행기건송해술，공능회복교호。【결론】투명질산납구유예방혹감경기건점련적작용，시일충교위이상적예방기건점련적생물재료。
Objective To observe the clinical efficacy of sodium hyaluronate for preventing tendon adhesion .[Methods]Totally 42 cases of finger tendon rupture(65 stripes) underwent one-stage reparation .During the opera-tion ,the modified Kessler method was used for the suture of tendon .Sodium hyaluronate 2ml was injected into tendon sheath canal .The skin was sutured .The finger activity was observed after operation .[Results] After the follow up for average 5 months ,the efficacy was assessed by using the total active finger activity (TAM) standard . The efficacy was good in 44 stripes ,and the good and excellence rate was 77 .2% .Two fingers with poor efficacy underwent tenolysis after half a year and had good function recovery .[Conclusion]Sodium hyaluronate can prevent or alleviate tendon adhesion ,so it is an ideal biological materials to prevent tendon adhesion .