Between 1988 and 1994, 78 cases (183 tendons) of flexor tendon injuries of the hand were repaired by microsurgical techique. The patients were followed up from4 to 6 months. The results were assessed according to the grading method of TAM. In 36 cases, 78 tendons were repaired by microsurgical suture and the excellentgood rate reached 76.2 per cent and the other 42 cases, 105 tendons were repaired with biological memberane wrapped arround the anastomotic site following microsurgical suture, in which, 32 cases, 77 tendons were followed up and the excellentgood rate was 89.5 per cent. The curative effect between the two groups hadsignificant difference statistically (Plt;0.05). Those cases with a bad results were mainly those injuries occurred in Zone II which had very poor soft tissue condition of the palm and thoes old cases having extensive scar tissue formation surrounding the tendon bed.
目的 探討乳腺脂肪肉瘤的臨床病理特點及鑒別診斷。 方法 分析2010年3月收治的1例乳腺多形性脂肪肉瘤的臨床表現、組織病理學特征及免疫表型特點，并復習相關文獻。 結果 腫瘤由高級別多形性肉瘤和數量不等的多形性脂肪母細胞組成。免疫組織化學：腫瘤細胞呈S-100蛋白陽性表達、CD34灶性陽性表達，細胞角蛋白、上皮膜抗原、巨噬細胞表面抗原、結蛋白、平滑肌肌動蛋白、肌調節蛋白、肌漿蛋白、CD31均呈陰性表達。結論 乳腺脂肪肉瘤是一種少見的原發于乳腺的間葉源性腫瘤，診斷上應首先排除乳腺化生性癌和惡性葉狀腫瘤伴脂肪肉瘤分化，應依據形態學特點和免疫組織化學結果進行鑒別。