关节镜下半月板成形缝合术治疗半月板损伤临床疗效观察  

The Clinical Effect on Arthroscopic Meniscoplasty for Meniscus Injury

作　　者：刘堂鑫[1] 姚忠军[1] 何明武[1] 田彩霞[2] 

机构地区：[1]湖北医药学院附属太和医院骨科,湖北十堰442000 [2]湖北医药学院附属人民医院骨科,湖北十堰442000

出　　处：《中国现代手术学杂志》2016年第2期107-110,共4页Chinese Journal of Modern Operative Surgery

基　　金：十堰市科学技术局课题(编号:14Y22)

摘　　要：目的探讨关节镜下半月板成形缝合术治疗半月板损伤的临床疗效。方法 2012年8月-2015年2月选择我院收治的半月板损伤患者110例,按手术方式分为治疗组与对照组,每组55例,分别行关节镜下半月板成形缝合术和常规半月板切除术。结果所有患者均顺利完成手术,半月板愈合良好。治疗组的手术时间与术后住院时间分别为（32.45±5.13）min和（5.14±1.45）d,而对照组分别为（30.45±4.19）min和（14.09±4.21）d,治疗组术后住院时间明显少于对照组（P〈0.05）。术后3月膝关节功能评价：治疗组优40例,良13例,可2例,对照组优25例,良20例,可7例,差3例;治疗组优良率高于对照组,差异具有统计学意义（96.4%VS 81.8%,P〈0.05）。术后3个月两组Lysholm评分均较术前明显改善,差异具有统计学意义（P〈0.05）;组间比较,治疗组术后3个月Lysholm评分明显高于对照组,差异具有统计学意义（P〈0.05）。术后3个月内治疗组出现反应性滑膜炎和关节僵硬各1例,对照组出现半月板囊肿3例,反应性滑膜炎4例,关节僵硬5例;组间比较,对照组并发症发生率明显高于治疗组,差异具有统计学意义（P〈0.05）。结论关节镜下半月板成形缝合术治疗半月板损伤疗效可靠,患者康复快速,术后并发症发生率低,膝关节功能改善明显,具有很好的临床应用价值。Objective To explore the clinical effect of arthroscopic meniscoplasty for meniscus injury.Methods A total of 110 cases with meniscus injury from August 2012 to February 2015 in our hospital were analyzed retrospectively. All cases were divided into treatment group and control group according to surgical procedures,with 55 cases for each. The control group was performed conventional meniscectomy,while the treatment group was carried out meniscoplasty under arthroscopy. Results All operations were succeeded and the menisci were healed well. The operative time and postoperative hospital stays of the treatment group were（ 32. 45 ± 5. 13） min and（ 5. 14 ± 1. 45） days respectively,while those of the control group were（ 30. 45± 4. 19） min and（ 14. 09 ± 4. 21） days respectively. The postoperative hospital stays of treatment group was significantly shorter than that of the control group（ P〈0. 05）. The knee joint function was evaluated 3 months after operation and showed that excellence in 40 cases,good in 13 cases,fair in 2 cases in treatment group,and excellence in 25 cases,good in 20 cases,fair in 7 cases and false in 3 cases in control group. The fineness rate of treatment group was 96. 4%,and was remarkable higher than 81. 8% of control group（ P〈0. 05）. The Lysholm scores were improved obviously 3 months after surgery than pre-operation in both two groups（ P〈0. 05）,and the Lysholm scores of treatment group was higher than that of control group 3 months after the operation（ P〈0. 05）. The postoperative complications was reactive synovitis and anchylosis in one case respectively in treatment group,and meniscal cyst in 3 cases,reactive synovitis in 4 cases and anchylosis in 5 cases in control group. There was statistical difference in complication rate between two groups（ P〈0. 05）. Conclusion The arthroscopic meniscoplasty is an ideal surgical intervention for meniscus injury with reliable effect,rapid rehabilitation,lower complication rate and obviously improvement of kn

关 键 词：关节镜检查 半月板成形术 半月板损伤 手术后并发症 

分 类 号：R687.42[医药卫生—骨科学]