| 局麻关节镜下Fast-fix缝合半月板损伤的临床疗效 |
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Received:December 06, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王江涛 |
WANG Jiang-tao |
中国人民解放军总医院骨科, 北京 100853
中国人民解放军第66013部队医院, 河北 石家庄 050200 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 刘玉杰 |
LIU Yu-jie |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
liuyujie301@163.com |
| 王俊良 |
WANG Jun-liang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 曲峰 |
QU Feng |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 袁邦拓 |
YUAN Bang-tuo |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 肇刚 |
ZHAO Gang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 申学振 |
SHEN Xue-zhen |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 朱娟丽 |
ZHU Juan-li |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 刘洋 |
LIU Yang |
中国人民解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 期刊信息：《中国骨伤》2014年27卷，第8期，第683-685页 |
| DOI：10.3969/j.issn.1003-0034.2014.08.015 |
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目的：探讨局麻关节镜下Fast-fix缝合半月板损伤的临床疗效。
方法：选取2005年10月至2012年9月收治的半月板损伤患者106例，其中男74例，女32例；年龄13~71岁，平均27.6岁；病程15 d~5年。临床主要表 现为膝关节活动后疼痛、肿胀、绞锁，关节间隙压痛，McMurray 征阳性，MRI 示半月板撕裂或退变。均采用局麻关节镜下Fast-fix半月板缝合术，术前术后采用疼痛视觉模拟评分（VAS）及膝关节Lysholm 评分进行疗效评价 。术后随访1年以上。
结果：术后随访102例，失访4例，随访时间1.1~8年，平均2.6年。随访采用门诊检查主观症状、临床查体及问卷方式进行。102例均无麻醉并发症，96例主观症状及临床查体正常，4例有活动后轻度胀痛 ，2例活动后中度疼痛伴关节间隙压痛。术后患者VAS及Lysholm 评分均较术前改善。
结论：关节镜下Fast-fix半月板缝合术是修复半月板损伤的理想方法，尤其是内侧半月板后角撕裂，手术操作方便，并发症少，术后效果满 意。 |
| [关键词]:麻醉,局部 关节镜 半月板,胫骨 |
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| Arthroscopic repair of meniscus injury with Fast-fix under local anesthesia |
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Abstract:
Objective: To evaluate the clinical outcome of arthroscopic repair method of meniscus injury with Fast-fix under local anesthesia.
Methods: From October 2005 to September 2012,106 patients with meniscus injuries admitted into our hospital were studied,including 74 males and 32 females,ranging in age from 13 to 71 years old,averaged 27.6 years old. The duration of the disease ranged from 15 days to 5 years. The main clinical manifestations included knee joint pain after exercise,joint locking,pressing pain of knee joint and positive McMurray signs. The MRI showed meniscus tear or degeneration. Arthroscopic repairing surgeries were performed with Fast-fix under local anesthesia. Each patient was assessed with VAS pain evaluation and Lysholm knee-joint score system before and after operation. All the patients were followed up more than 1 year.
Results: One hundred and 2 patients were followed up by recording subjective symptoms,clinical examinations and questionnaires for an average of 2.6 years (ranged,1.1 to 8 years),and 4 patients lost follow-up. All the 102 patients had no anesthetic complications. Ninety-six patients had normal subjective symptom and clinical examinations. Four patients had a mild ache with activities,2 patients had moderate pain after activities with joint space pressing pain. VAS pain evaluation and Lysholm knee-joint score after operation both were much better than that before operation.
Conclusion: Local anesthesia can provide nice circumstances for surgeries. Arthroscopic repair using Fast-fix is an idea method for meniscus injury,especially for the posterior horn tear of medial meniscus,which is simple and convenient with less complications,and satisfactory results. |
| KEYWORDS:Anesthesia,local Arthroscopes Menisci,tibial |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王江涛,刘玉杰,王俊良,曲峰,袁邦拓,肇刚,申学振,朱娟丽,刘洋.局麻关节镜下Fast-fix缝合半月板损伤的临床疗效[J].中国骨伤,2014,27(8):683~685 |
| 英文格式: | WANG Jiang-tao,LIU Yu-jie,WANG Jun-liang,QU Feng,YUAN Bang-tuo,ZHAO Gang,SHEN Xue-zhen,ZHU Juan-li,LIU Yang.Arthroscopic repair of meniscus injury with Fast-fix under local anesthesia[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(8):683~685 |
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