| 关节镜下硬膜外穿刺针缝合半月板在急性半月板撕裂中的应用 |
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Received:December 12, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 杨光 |
YANG Guang |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
zjzjyg@yahoo.com.cn |
| 马云淼 |
MA Yun-miao |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 徐铁锋 |
XU Tie-feng |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 高志洋 |
GAO Zhi-yang |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年22卷，第4期，第291-293页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨关节镜下用硬膜外穿刺针缝合急性撕裂半月板的可行性和临床疗效。
方法：对22例急性半月板撕裂患者在关节镜下用硬膜外穿刺针和强生2号不吸收线进行半月板缝合，其中男18例，女4例；年龄17～42岁，平均28.4岁。对患者进行术后6～12个月的随访，随访时进行Lysholm评分、主观症状及查体检查。
结果：Lysholm评分，术前46.72±13.46,术后89.43±18.21,手术前后差异有统计学意义(t=1.85,P<0.01).患者的主观症状及查体检查：无交锁复发，内侧间隙无疼痛，无内侧与后内侧关节间隙压痛，McMurray试验阴性。术后未见血管、神经或肌腱损伤的并发症，也未见感染病例。
结论：关节镜下用硬膜外穿刺针缝合急性撕裂半月板的术式具有简便、可靠、缝合强度大、疗效明确的优点。 |
| [关键词]:半月板损伤 关节镜 外科手术,微创性 |
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| Suture menisci with epidural transfixion pin to treating acute meniscus tear under arthroscope |
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Abstract:
Objective: To study the utility and effect of suturing menisci with epidural transfixion pin to treating acute meniscus tear under arthroscope.
Methods: Twenty-two cases with acute meniscus tear were selected,in which 18 were male and 4 were female,aged from 17 to 42 years with average of 28.5. The tearing menisci were sutured with epidural transfixion pin and unabsorbed suture. The follow-up were 6-12 months after operation. Meanwhile,Lysholm score,subjective symptoms and examination were recorded.
Results: Preoperative Lysholm scores were 46.72±13.46,whereas,postoperative ones were 89.43±18.21. There was significant difference between before and after operation(t=1.85,P<0.01). No recurrent interlocking,no pain in joint medialis and post-medialis space. McMurray test was negative. The complications about injury of blood vessel,nerves and tendons were not found during 6-12 months follow-up.
Conclusion: The technique is advantageous in convenience,reliability,large suture strength and definite curative effect. |
| KEYWORDS:Meniscus injury Arthroscope Surgical procedures,minimally invasive |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨光,马云淼,徐铁锋,高志洋.关节镜下硬膜外穿刺针缝合半月板在急性半月板撕裂中的应用[J].中国骨伤,2009,22(4):291~293 |
| 英文格式: | YANG Guang,MA Yun-miao,XU Tie-feng,GAO Zhi-yang.Suture menisci with epidural transfixion pin to treating acute meniscus tear under arthroscope[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(4):291~293 |
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