不使用止血带的关节镜下半月板手术的效果观察  

The Observation of Arthroscopic Meniscal Surgery without the Use of A Tourniquet

作　　者：卢文倩 杨清均 尤田[3] 张新涛[3] 张文涛[3] 任士友 白露[3] LU Wen-qian;YANG Qing-jun;YOU Tian;ZHANG Xin-tao;ZHANG Wen-tao;REN Shi-you;Bai Lu(Health Science Center of Shenzhen University,Shenzhen 518061,Guangdong Province,China;Clinical Medical College of Weifang Medical University,Weifang 261053,Shandong Province,China;Department of Sports Medicine,Peking University Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳大学医学部,广东深圳518061 [2]潍坊医学院临床医学院,山东潍坊261053 [3]北京大学深圳医院运动医学科,广东深圳518000

出　　处：《罕少疾病杂志》2022年第11期79-80,112,共3页Journal of Rare and Uncommon Diseases

基　　金：广东省体育局科技创新和体育文化发展科研项目(GDSS2020N002);北京大学深圳医院科研项目(LCYJ2020005);深圳市科技计划项目(JCYJ20180228175214999);深圳市科技计划项目(JCYJ20220530160218040)。

摘　　要：目的半月板撕裂是一种常见的运动损伤,通常在应用止血带的情况下采取关节镜手术治疗,目前是否使用需要止血带有一定的争议,本文讨论我们的不使用止血带的关节镜下半月板手术技术。方法我们进行了50例半月板手术,随机分为无止血带组(试验组)26例,止血带组(对照组)24例。术毕患者苏醒后立即评估患者肢体的肿胀程度、疼痛评分、出血量、主动活动范围和手术并发症。结果两组术后均无并发症发生。试验组肢体肿胀程度平均为(2.6±0.9)%,对照组为(7.1±1.1)%,两组比较有显著的统计学差异(P<0.001);试验组疼痛评分平均为(3.3±1.2)分,对照组为(6.5±1.8)分,两组比较有显著的统计学差异(P<0.001);试验组主动活动范围平均为(120.2±8.3)度,对照组为(105.4±7.9)度,两组比较有显著的统计学差异(P<0.001);试验组和对照组的平均手术时间和出血量比较均无统计学差异(P>0.05)。结论我们认为不用止血带的关节镜下半月板手术是是一种安全、有效的方法。Objective Meniscus tears are a common sports injury and are usually managed by arthroscopic surgery using a tourniquet.The employment of a tourniquet in the operation has been a debatable topic for some time.Here,we discuss our technique in the arthroscopic treatment of meniscus tears without the use of a tourniquet.Methods We performed 50 meniscus tears without the use of a tourniquet.These participants were randomly divided into the no-tourniquet group(test group,26 cases)and the tourniquet group(control group,24 cases).Patients were evaluated immediately postoperatively for knee swelling,pain score,bleeding,active range of movement and complications.Results No postoperative complications occurred in the two groups.The knee swelling in the test group and control group,was(2.6±0.9)%and(7.1±1.1)%,respectively,which had a significantly statistical difference(P<0.001).The pain score in the test group and control group,was(3.3±1.2)and(6.5±1.8),respectively,which had a significantly statistical difference(P<0.001).The active range of movement in the test group and control group,was(120.2±8.3)degrees and(105.4±7.9)degrees,respectively,which had a significantly statistical difference(P<0.001).There was no statistical difference in the mean operation time and blood loss between the two groups(P>0.05).Conclusions Our study has demonstrated that arthroscopic meniscal surgery without the use of a tourniquet is a safe and effective method.It can guarantee the successful completion of arthroscopy which is worthy of clinical promotion.

关 键 词：关节镜 半月板撕裂 止血带 

分 类 号：R68[医药卫生—骨科学]