CAJ | 학술논문

背景：肌腱损伤治疗的疗效与缝合材料使用密切相关。目的：综述肌腱缝合材料和肌腱生物力学的发展情况。方法：应用计算机检索1999年1月至2014年12月中国知网数据库与1950年1月至2014年12月PubMed数据库，检索词为“肌腱，缝合材料，生物力学；tendon，suture materials，biomechanics”。结果与结论：理想的肌腱修复包括恢复其解剖结构的连续性、力学上的张力强度及生理上的滑动功能，有诸多因素可影响修复效果，其中缝合技术和缝合材料的选择是不可忽视的环节。随着肌腱外科缝合技术的发展，为了提高肌腱愈合质量，理想的肌腱缝合首先是有足够的强度避免早期拉断；其次弹性不能太大否则会造成缝合端形成间隙，影响肌腱愈合，而且对肌腱的强度保护时间越长越好。因此，在进行肌腱外科缝合时应根据缝合方法的不同及缝合线的生物学特点进行最优选择，以促进肌腱的良好愈合。
배경：기건손상치료적료효여봉합재료사용밀절상관。목적：종술기건봉합재료화기건생물역학적발전정황。방법：응용계산궤검색1999년1월지2014년12월중국지망수거고여1950년1월지2014년12월PubMed수거고，검색사위“기건，봉합재료，생물역학；tendon，suture materials，biomechanics”。결과여결론：이상적기건수복포괄회복기해부결구적련속성、역학상적장력강도급생리상적활동공능，유제다인소가영향수복효과，기중봉합기술화봉합재료적선택시불가홀시적배절。수착기건외과봉합기술적발전，위료제고기건유합질량，이상적기건봉합수선시유족구적강도피면조기랍단；기차탄성불능태대부칙회조성봉합단형성간극，영향기건유합，이차대기건적강도보호시간월장월호。인차，재진행기건외과봉합시응근거봉합방법적불동급봉합선적생물학특점진행최우선택，이촉진기건적량호유합。
BACKGROUND:The therapeutic effectiveness on tendon injury is closely related to the material of tendon suture. <br> OBJECTIVE: To review the progress of tendon suture materials and tendon biomechnics in recent years. <br> METHODS:A computer-based search of CNKI (January 1999 to December 2014), and PubMed (January 1950 to December 2014) was performed for relevant articles using the keywords of “tendon, suture materials, <br> biomechanics” in Chinese and English, respectively. <br> RESULTS AND CONCLUSION:Ideal tendon repair refers to the restoration of the continuity of its anatomical structure, tensile strength and sliding function in physiology, which is influenced by many factors. Suture technique and choice of suture materials are two steps that cannot be ignored. With the development of surgical tendon suture technique, in order to improve the quality of tendon healing, ideal tendon suture is first to have sufficient strength to avoid an early tensile fracture; secondly, the elasticity cannot be too large that can cause a gap between suturing ends and affect tendon healing, and time for protecting the tendon strength is as long as possible. Therefore, the optimal choice of tendon suture materials should be based on suture methods and biomechanical characteristics of suture lines, thereby to promote tendon healing.