Fast-Fix技术治疗合并前交叉韧带损伤的半月板撕裂的疗效分析

发布时间：2019-05-30 07:37

【摘要】：目的:观察评估使用全内缝合法Fast-Fix技术进行半月板缝合术后的症状缓解和功能恢复情况,以及术后半月板临床愈合情况;对单纯半月板缝合与同时行前交叉韧带重建的半月板缝合分组进行疗效比较。方法:收集本院从2011年1月至2014年3月符合纳入标准的使用Fast-Fix技术缝合半月板的78位病例进行随访和回顾性分析,随访时间应不少于12个月,根据是否合并前交叉韧带损伤而同时行前交叉韧带重建的病例而分为两组。分别进行术前术后的Lysholm及VAS评分的变化来评价其功能恢复和症状缓解情况,根据Barrett标准来判断其临床愈合情况,评估应用Fast-Fix技术治疗半月板撕裂的手术疗效,比较两组病例手术疗效和半月板临床愈合率,统计学分析使用t检验和卡方检验。结果:本次研究纳入78位病例,随访时间12-39个月,平均19±12个月;被分为两组:A组(单纯半月板缝合)42例,B组(半月板缝合+前交叉韧带重建)36例。其中A组Lysholm评分由术前53.52±15.72提高至术后86.67±9.37(P0.01),VAS评分由术前5.5±0.8降低至术后1.7±0.5(P0.01),有9例患者根据Barrett标准半月板未愈合,临床愈合率为78.6%;B组Lysholm评分由术前47.53±13.38提高至术后83.03±9.26(P0.01),VAS疼痛评分由术前5.9±0.5降低至术后1.8±0.7(P0.01),有2例患者根据Barrett标准半月板未愈合,临床愈合率为94.4%。研究中没有发生神经血管损伤和其他严重并发症。结论:Fast-Fix技术治疗是否合并前交叉韧带损伤的半月板撕裂均安全有效,两组在症状缓解(VAS评分)和功能恢复(Lysholm评分)方面没有统计学差异,但合并前交叉韧带损伤的半月板撕裂在获得较高临床愈合率。
[Abstract]:Objective: to observe and evaluate the symptom relief and functional recovery after meniscus suture with total internal suture Fast-Fix technique, as well as the clinical healing of meniscus after operation. The curative effects of meniscus suture alone and meniscus suture group with anterior cruciate ligament reconstruction were compared. Methods: 78 cases of meniscus sutured with Fast-Fix technique from January 2011 to March 2014 were followed up and analyzed retrospectively. the follow-up time should be not less than 12 months. According to whether the anterior cruciate ligament injury was complicated and the anterior cruciate ligament reconstruction was performed at the same time, the patients were divided into two groups. The changes of Lysholm and VAS scores before and after operation were carried out to evaluate the functional recovery and symptom relief, the clinical healing was judged according to the Barrett standard, and the surgical effect of Fast-Fix technique in the treatment of meniscus tears was evaluated. The curative effect and meniscus clinical healing rate were compared between the two groups. T test and chi-square test were used for statistical analysis. Results: 78 cases were followed up for 12 to 39 months (mean 19 卤12 months). They were divided into two groups: group A (meniscus suture alone, n = 42) and group B (meniscus suture anterior cruciate ligament reconstruction, n = 36). In group A, the Lysholm score increased from 53.52 卤15.72 before operation to 86.67 卤9.37 after operation (P 0.01). The), VAS score decreased from 5. 5 卤0. 8 before operation to 1. 7 卤0. 5 (P01) after operation. 9 patients did not heal according to Barrett standard meniscus. The clinical healing rate was 78.6%. In group B, the Lysholm score increased from 47.53 卤13.38 before operation to 83. 03 卤9. 26 after operation (P 0.01). The pain score of), VAS decreased from 5. 9 卤0. 5 to 1. 8 卤0. 7 (P01). According to the standard of Barrett, the meniscus of 2 patients did not heal. The clinical healing rate was 94.4%. No neurovascular injury or other serious complications occurred in the study. Conclusion: Fast-Fix is safe and effective in the treatment of meniscus tear complicated with anterior cruciate ligament injury. There is no significant difference in symptom relief (VAS score) and functional recovery (Lysholm score) between the two groups. However, meniscus tears with anterior cruciate ligament injury achieved a high clinical healing rate.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R684.7

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