FasT—Fix技术垂直褥式缝合半月板水平Ⅲ度撕裂的临床效果  

FasT- Fix technology vertical mattress suture meniscal tear Ⅲ level of clinical patient outcomes

作　　者：蔡震海 陈刚[1] 潘界恩[1] 黄成龙[1] 

机构地区：[1]嘉兴市第二医院骨科,浙江省嘉兴314000

出　　处：《中国基层医药》2016年第9期1379-1383,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨在关节镜对半月板水平Ⅲ度撕裂患者实施FaxT-Fix技术垂直褥式缝合后的临床效果。方法选取50例半月板水平Ⅲ度撕裂患者为研究对象,采用随机数字表法分为两组,每组25例,其中对照组采取单纯的半月板切除术,观察组在关节镜下行FaxT-Fix技术垂直褥式缝合术。观察比较两组手术及预后功能恢复情况。结果观察组手术时间（26.53±7.34）min、术后功能活动恢复时间（25.01±9.55）d、住院时间（5.68±2.01）d,均明显短于对照组手术时间（46.66±12.28）min、术后功能活动恢复时间（39.53±11.28）d及住院时间（9.98±3.34）d,差异均有统计学意义（t=7.04、4.91、5.52,均P〈0.05）;观察组手术后3个月、6个月、12个月及18个月Lysholm和IKDC评分的改善情况均显著优于对照组（t=3.60、2.64、2.81、3.03,4.94、2.12、2.28、2.32,均P〈0.05）;术后随访期间观察组并发症发生率（4.00%）低于对照组（24.00%）（χ2=4.15,P〈0.05）。结论对半月板水平Ⅲ度撕裂患者在关节镜下行FaxT-Fix技术垂直褥式缝合术,能够有效缩短患者手术及住院时间,促进患者膝关节功能恢复,术后膝关节Lysholm和IKDC评分的改善情况显著,还显著降低术后伤口感染、血肿、血管神经损伤并发症发生率。Objective To investigate the clinical results of arthroscopic FaxT - Fix technology vertical mattress suture for patients with meniscal tear Ⅲ level. Methods 50 cases with the level of meniscal Ⅲ orthopedictreatment of torn were divided into two groups using random number table, 25 cases in each group. The control groupreceived a simple meniscectomy, the observation group was given arthroscopic FaxT - Fix technology vertical mattresssuture. Surgery and prognosis function were observed and compared in the two groups during recovery. Results Theoperation time （ 26. 53 ±7. 34） min, postoperative functional activity recovery time （ 25. 01 ±9. 55） d and hospital stay（ 5. 68 ±2. 01） d of the observation group were significantly shorter than the control group[ （ 46. 66 ± 12. 28） min,（ 39. 53 ±11. 28） d, （ 9. 98 ± 3. 34） d] , the differences were statistically significant （ t = 7. 04, 4. 91, 5. 52, all P 〈0 05） . 3, 6, 12, 18 months after operation, the improvements of Lysholm and IKDC scores of the observation groupwere significantly better than the control group （ t =3. 60, 2. 64, 2. 81, 3. 03, 4. 94, 2. 12, 2. 28, 2. 32, all P 〈0. 05） .During the postoperative follow - up period, the incidence rate of complications of the observation group （ 4. 00%）was significantly lower than the control group （ 24. 00%） （ χ 2 = 4. 15, P 〈 0. 05） . Conclusion For patients withlevel of Ⅲ meniscus tear, arthroscopic FaxT - Fix technology vertical mattress suture can effectively reduce the surgeryand hospitalization time, promote functional recovery of the patients＇ knee, significantly improve the postoperativeLysholm knee score and IKDC, but also significantly reduce postoperative wound infection, hematoma, nerve damagevascular complication rate.

关 键 词：半月板 胫骨 FaxT-Fix技术 关节镜检查 

分 类 号：R687.4[医药卫生—骨科学]