| 关节镜下肩袖缝线过线器捆扎缝合半月板撕裂伤疗效观察 |
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投稿时间：2020-08-10
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| 作者 | Author | 单位 | Address | E-Mail |
| 孙斌 |
SUN Bin |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 林红明 |
LIN Hong-ming |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 吴旭东 |
WU Xu-dong |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 梁田子 |
LIANG Tian-zi |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 刘爱波 |
LIU Ai-bo |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
sunbin7812@sina.com |
| 沈万祥 |
SHEN Wan-xiang |
舟山市中医院关节科, 浙江 舟山 316000 |
Department of Joint, Zhoushan Hospital of TCM, Zhoushan 316000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第9期，第851-855页 |
| DOI：10.12200/j.issn.1003-0034.2021.09.012 |
| 基金项目:浙江省舟山市科技局市级公益类科技项目（编号：2019C31113） |
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中文摘要:
目的：探讨采用肩袖缝线过线器进行关节镜下半月板撕裂捆扎缝合的临床疗效。
方法：自2015年7月至2019年5月采用关节镜下肩袖缝线器捆扎缝合半月板撕裂损伤患者40例，其中男27例，女13例；年龄20~55（36.0±1.4）岁。观察术后并发症情况，术前及术后12个月采用Lysholm膝关节评分标准评价临床疗效，采用疼痛视觉模拟评分（visual analogue scale，VAS），膝关节屈伸活动范围评估疼痛与功能恢复情况。
结果：所有患者获得随访，时间12~15（12.6±0.7）个月。未出现关节积液、缝合失效等并发症。2例患者末次随访时膝关节存在轻度疼痛，但临床查体无异常；1例患者中度疼痛合并关节间隙局部按压痛，其余患者均无异常。Lysholm膝关节评分由术前的（49.55±1.21）分提高到术后12个月的（98.95±0.42）分，VAS评分由术前的（5.18±0.78）分降至术后12个月的（1.03±0.77）分，膝关节屈伸活动范围由术前的（50.63±9.20）°提高到术后12个月的（130.38±4.99）°，差异有统计学意义（P<0.05）。
结论：关节镜下使用肩袖缝线过线器捆扎缝合适用于大部分的半月板损伤，包括内侧半月板后角撕裂，及外侧半月板体部、后角撕裂。此项技术解决了缺乏专用半月板缝合器情况下的半月板全内缝合需求，且具有手术操作方便，并发症少，术后功能好等优点。 |
| 【关键词】关节镜 半月板 缝线 撕裂伤 |
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| Clinical oberservation on rotator cuff suture threader and strapping suture in meniscus tear under arthroscopy |
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ABSTRACT
Objective: To explore clinical effect of arthroscopic meniscus tear strapping suture by rotator cuff suture threader.
Methods: Forty patients with meniscus tear injury admitted from July 2015 to May 2019,including 27 males and 13 females,aged from 20 to 55 years old with an average of (36.0±1.4) years old. Menisci laceration was sutured with rotator cuff suture thread under arthroscopy. Postoperative complication was observed,Lysholm knee joint score before and after operation at 12 months were used to evaluate clinical effects,visual analogue scale(VAS) and range of knee flexion and extension were applied to evaluate recovery of pain and function.
Results: All patients were followed up from 12 to 15 months with an average of (12.6±0.7) months. No complication such as joint effusion,suture failure occurred. Two patients occurred mild pain after activity without clinical physical abnormality,and 1 patient manifested moderate pain with joint space tenderness,the other rest without abnormal. Lysholm knee joint score was increased from (49.55±1.21) preoperatively to (98.95±0.42) at 12 months after operation,VAS score decreased from (5.18±0.78)preoperatively to (1.03±0.77) at 12 months after operation,and range of knee joint flexion and extension activity increased from(50.63±9.20)°preoperatively to (130.38±4.99)åfter operation,and there were statistical differences in Lysholm knee joint score,VAS and range of knee joint flexion and extension activity (P<0.05).
Conclusion: Arthroscopic strapping suture by rotator cuff suture threading device applies to most meniscus injuries,including medial meniscus posterior horn tears,lateral meniscus body tears and lateral meniscus posterior horn tears. This technique meets the need of full-internal meniscus suture without special meniscus suture,and has advantages of convenient operation,less complications and good postoperative function. |
| KEY WORDS Arthroscopes Meniscus Sutures Lacereations |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙斌,林红明,吴旭东,梁田子,刘爱波,沈万祥.关节镜下肩袖缝线过线器捆扎缝合半月板撕裂伤疗效观察[J].中国骨伤,2021,34(9):851~855 |
| 英文格式: | SUN Bin,LIN Hong-ming,WU Xu-dong,LIANG Tian-zi,LIU Ai-bo,SHEN Wan-xiang.Clinical oberservation on rotator cuff suture threader and strapping suture in meniscus tear under arthroscopy[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(9):851~855 |
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