摘要
目的探讨关节镜下全内缝合法在半月板修补中的应用及临床疗效。方法对53例半月板损伤患者采用全内缝合法进行半月板修补。其中采用可吸收半月板箭5例,Fast—Fix全内半月板缝合系统48例。对患者进行术后6~12个月的随访,随访时进行Lysholm评分、主观症状及查体检查。结果53例患者获得随访,Lysholm评分,术前(47.26±14.58)分,术后(90.31±17.63)分,手术前后差异有统计学意义(t=-13.6993,P〈0.01)。患者临床表现:无交锁复发,膝关节无疼痛,无内侧与后外侧关节间隙压痛,研磨挤压试验阴性。术后未见神经、血管或肌腱损伤的并发症,未见感染病例。结论关节镜下全内缝合法是修补半月板损伤的理想方法,其操作简单,并发症少,疗效确切,治愈率高。
Objective To investigate the application and clinical effect of arthroscopic al-inside suture technique for repairing tears of meniscus. Methods There were, 53 cases with meniscus tears were repaired by arthroscopic all-inside suture technique, 5 cases were fixed with bio-absorbable meniscus arrow. 48 cases were used Fast-Fix all-inside suture technique. Results All 53 patients were followed up, the follow-up time were 6~12 months after operation, meanwhile, Lysholm score, subjective symptoms and examination were recorded. Preoperative Lysholm scores were (47.26 ± 14.58), whereas, postoperative ones were (90.31 ± 17.63). There were significant differences between before and after operation(t=1.85, P〈0.01). No recurrent interlocking, no pains in joint medialis and post-medialis space. Grinding test was negative.The complications about injury of blood vessel, nerves and tendons were not found during 6~12 months follow-up. Conclusion Arthroscopic all-inside suture technique is an ideal way to repair meniscus. The technology is simple to operate with fewer comphcations, high efficacy and cure rate.
出处
《中国实用医药》
2014年第19期8-10,共3页
China Practical Medicine
关键词
关节镜
全内缝合法
半月板
修补
Arthroscopy
All-inside suture
Meniscus
Repair