关节镜下MeniscalFastener缝合修复半月板体部纵行撕裂的疗效分析.docVIP

关节镜下Meniscal Fastener缝合修复半月板体部纵行撕裂的疗效分析 　　作者：于川东,于庆巍△,左建林　　作者单位：吉林长春，吉林大学中日联谊医院 　　【摘要】目的研究关节镜下Meniscal Fastener(DePuy Mitck)缝合半月板体部红-白交界区、红区(peripheral)及半月板-滑膜缘(menisco-synovial)撕裂损伤的疗效并做出统计学分析。方法 通过一组使用Meniscal Fastener(DePuy Mitck)进行半月板修复前后得到的临床数据资料进行回顾性分析研究。中日联谊医院2009年4月-2010年2月明确诊断为半月板撕裂损伤的患者中进行筛选，以符合纳入标准的7例患者为研究对象。7例半月板损伤患者，男5例，女2例;年龄12～28岁，平均20.8岁;左膝4例，右膝3例;内侧半月板损伤6例，外侧半月板损伤1例;损伤均位于半月板体部，半月板滑膜缘损伤1例，红区损伤4例，红-白交界区损伤2例;病程1～7周，平均27.6天。每例患者手术前后均进行国际上认可的Lysholm和Tegner膝关节功能评分，每例患者术前数据和术后数据进行自身的统计学比较分析。结果 所有病例术后均无早期并发症发生。所有患者术后均获得随访，随访时间12.2～21.6(17.1±3.5)个月。截至写稿时，所有随访患者膝关节稳定，膝关节疼痛、绞索等症状消失，8周后关节活动度全面恢复。Lysholm评分由术前的 (47.00±8.72)分增加到术后的(91.71±3.68)分，差异有显著性(t=12.73,P0.05);Tegner评分由术前的(2.86±0.69)分增加到术后的(8.43±0.79)分，差异有显著性(t=13.00,P0.05)。疗效优6例，占85.71%;良1例，占14.29%;总优良率为100%。结论 关节镜下Meniscal Fastener(DePuy Mitck)缝合修复半月板体部撕裂损伤手术成功率高，术中和术后风险小，临床长期治疗疗效需要进一步观察。 　　【关键词】 半月板损伤;关节镜;半月板修复 　　[Abstract] Objective Arthroscopic Meniscal Fastener(DePuy Mitck)suture of the meniscus body red-white border area, the red zone and the meniscus - the effect of synovial margin tear injury and make a statistical analysis.Methods By using a set of Meniscal Fastener (DePuy Mitck) were obtained before and after meniscal repair were retrospectively reviewed the clinical data analysis.China-Japan Union Hospital in April 2009 on February 2010 diagnosed as a torn meniscus injury patients were screened,7 patients meet the inclusion criteria for the study 7 cases of 7 patients with meniscus injury，5 males and 2 females;Age 12 to 28 years old, average 20.8 years old;Left knee in 4 cases, 3 cases of right knee;6 cases of medial meniscus, lateral meniscus tear in 1 case;Meniscal tear in the meniscus body ，Meniscus-synovial margin of injury in 1 case，4 cases of injury in the red zone，red-white junction injury in 2 cases.Course of 1-7 weeks, average 27.6 days.Each patient before and after surgery rated Tegner and Lysholm knee score which were internationally recognized.Data for each patient before