皮肤软组织扩张联合深层纤维包膜在肌腱粘连修复中的应用

目的 将皮肤软组织扩张联合深层包膜应用于肌腱损伤后修复的效果。方法 利用软组织扩张术，首选重建皮肤软组织，扩张器取出时，切除肌腱附近的瘢痕组织，同期应用深层包膜进行肌腱粘连松解术，以预防术后肌腱的粘连。结果 术后6个月随访，重建的皮肤在色泽、质地、弹性、耐磨程度、活动灵活度等方面均与正常接近，同期进行的肌腱松解术优良率92.3％（TAM标准）。结论 皮肤软组织扩张术不仅为肌腱损伤后修复提供高质量的皮肤，同时能恢复局部双层膜性结构。

The use of the skin and soft-tissue expansion with deep-fibrous capsul in repairing tendon adhesion

Objective To use the skin and soft-tissue expansion with deep-fibrous capsul in tendon repair.Methods The skin and soft-tissue expansion was performed in 12 patients.Firstly,the skin and soft-tissue was expanded by tissue expander,after taking out the expander,cut away the sear tissue around the tendon and tenolysis was preformed simultane- ously to prevent the adhesion of the tendon.Results Follow up was performed at 6 months post-operatively,the recon- structed skin was near to normal one in coulur,texture,elasticity and wear resisting.The overall excellent and good rate was 84.6%(ATM standard)in tenolysis.Conclusion The skin and soft-tissue expansion provides high quality of skin and deep-fibrous capsul coverage for tendon repair to make it attain the double-decked structure of the film.It can avoid the ten- don adhesion once again and gain good clinical results in tendon repair.