Objective:To compare the advantages and disadvantages of Patterson and modified Hennigan Classification in amniotic band syndrome and review the features of 21 cases.Methods:From January 2019 to April 2020, 21 cases of amniotic band syndrome were enrolled. Basic information of the patients were recorded, medical history was reviewed to record the conditions on the affected limbs. The Patterson and modified Hennigan Classification were used on these patients separately to compare the features of these two classification systems. Then data were collected and calculated to have a brief view of the status of affected limbs.Results:Twenty-one cases were enrolled, including 7 boys and 14 girls. In 9 cases, only upper limbs were affected. In 5 cases, only lower limbs were affected. In 7 cases, both upper and lower limbs were affected. In 16 cases with upper limbs affected (18 limbs), one different Patterson classification was counted as 1. In these cases, 13 of Patterson type 2, 5 of type 3 and 5 of type 4 were included. There were 16 fingers of type 3, including 6 index-middle finger acrosyndactyly, 6 middle-ring finger acrosyndactyly and 4 ring-little finger acrosyndactyly. 13 fingers of type 4 were seen, including 6 index fingers, 4 middle fingers, 1 thumb, 1 ring finger and 1 little finger. In the same way, in 12 cases with lower limbs affected (15 limbs), 13 of Patterson type 2, 2 of type 3 and 5 of type 4 were included. 2 of type 3 were seen, including 2nd to 5th toe acrosyndactyly and 3rd to 5th toe acrosyndactyly. Besides on one amputation at the ankle level, there were 13 toes of type 4 affected, including 3 of 1st, 2nd, 3rd toes separately and 2 of 4th, 5th toes separately. While using modified Hennigan Classification, one different classification was also counted as 1. 10 finger of zone 1 (finger), 1 of zone 2 (palm), 7 of zone 3 (forearms) and 2 of zone 4 (arms) were affected in all upper limbs. 1 of zone 1 (thigh), 11 of zone 2 (shanks) and 4 of zone (toe) were affected in all lower limbs.Conclusion:The Patterson and modified Hennigan Classification system in amniotic band syndrome can be combined to clearly reflect the location and severity of the disease, facilitate the guidance of treatment and data statistics, and provide reliable data resources for future research.

目的 观察可吸收性防粘连膜预防肌腱粘连的临床应用效果.方法 对23例手部屈肌腱Ⅱ区损伤修复后的患者随访,分为置膜组(A组)和对照组(B组),A组用粘克聚-DL-乳酸可吸收医用膜包绕肌腱缝合端,B组不放置防粘连膜,4～6周后均行主动屈伸指锻炼.采用MRC (Medical Research Council)、TAM (Total Active Motion)、Strickland System和Buck-Grarncko System 4种评价方法对屈指深肌腱修复后的功能进行评定.结果 术后随访时间1.5～12个月,平均3个月.在屈肌腱肌力MRC评定中,A组优良率为66.6％,B组优良率为58.3％;对于TAM评级,A组优良率为66.6％,B组优良率为50.0％;在Strickland评级中,A组优良率为80.0％,B组优良率为58.3％;在Buck-Gramcko系统评定中,A组优良率为86.7％,B组优良率为41.7％.前三项评级P＞0.05;Buck-Gramcko系统评定中,P＜0.05,A组和B组有统计学差异.结论 在Ⅱ区屈肌腱损伤修复中,聚乳酸防粘连膜具有良好的预防肌腱粘连的作用.

目的探讨鸡肌腱断裂修补后,聚-DL-乳酸可吸收膜预防肌腱粘连的可行性及其有效性。方法将100只实验用鸡随机分为2组,A组为实验组,B组为对照组,各50只。对每只鸡的左足趾总深屈肌腱进行断裂修补。A组修补后放置可吸收膜,B组修补后不放置可吸收膜。修补术后3周、6周、2月、3月、5月分别进行大体观察、组织形态学、生物力学及功能恢复的测定。同时进行2组间比较的统计学分析。结果死亡20只鸡,可吸收膜组和对照组各10只,80只进入实验结果统计中。肉眼下可吸收膜组同周围组织粘连较少,光镜下可吸收膜组未见明显坏死组织,与周围纤维组织粘连较少,胶原纤维排列整齐。电镜下可吸收膜组3月后以未成熟的成纤维细胞增生为主,对照组以成熟的成纤维细胞增生为主。生物力学结果无明显差异,3月后可吸收膜组的屈趾功能明显优于对照组。结论聚-DL-乳酸可吸收医用膜具有防止肌腱粘连的效果。

<正>肌腱粘连[1]是指肌腱损伤修复过程中周围组织的增生和侵入。早在1918年,Bunnell就提出肌腱愈合的过程就是粘连形成的过程。在手外科领域中[2],肌腱问题占很大比例,

目的研究高血压患者服药依从性与坚持服药自我效能的相关性。方法通过事先拟定好的调查问卷,对松江6个社区里242例正在服药治疗的高血压患者进行调查,采用相关分析探讨服药依从性与坚持服药自我效能的相关性。结果社区高血压患者药物治疗依从性佳者124例(51.2%)。秩相关分析结果显示:患者坚持服药自我效能越高,服药依从性越好。结论高血压患者坚持服药的自我效能是服药依从性的一个重要影响因素,提高患者服药的自我效能是高血压患者管理的关键。