内侧半月板桶柄样撕裂后不同的半月板手术方式效果观察-现代医学

内侧半月板桶柄样撕裂后不同的半月板手术方式效果观察

单位：锦州市第二医院骨六科, 辽宁锦州 121000

分类号：R684

出版年·卷·期（页码）：2017·36·第八期（1072-1076）

摘要：

目的：探讨关节镜下两种手术方式治疗内侧半月板桶柄样撕裂的临床效果差异。方法：选取本院2012年1月~2014年12月本院收治的86例半月板桶柄样撕裂患者进行回顾性分析，其中采用全内缝合或全内和外内联合缝合的患者42例（缝合组）、采用半月板次全/全切术治疗44例（切除组），统计两组患者的临床资料，对比治疗效果差异。结果：缝合组患者的手术时间显著的长于切除组患者（P<0.05）；术前缝合组和切除组的Lysholm评分、IKDC评分比较差异无统计学意义（P>0.05）；术后6个月及末次随访时，缝合组患者的Lysholm评分、IKDC评分均显著的高于同期切除组患者（P<0.05）。结论：采用关节镜下全内缝合或全内和外内联合缝合治疗内侧半月板桶柄样撕裂较半月板次全/全切术更有利于患者膝关节功能的恢复。

Objective: To investigate the clinical effect of two kinds of surgical arthroscopic treatment of medial meniscus bucket handle tear.Methods: Eighty six cases of meniscal bucket handle tears from January 2012~December 2014 were retrospectively analyzed, including 42 cases undergoing total internal suture or total internal and external suture(suturing group), 44 cases receiving meniscus subtotal/full resection(resection). Their clinical data and effect were compared. Results: The operation time of the suture group was significantly longer than that of the resection group(P<0.05); there were no statistically significant differences of Lysholm score and IKDC score between the two groups(P>0.05); after six months and in the last follow-up, Lysholm score, IKDC scores were significantly higher in suture group than in resection patients(P<0.05).Conclusion: Arthroscopic total internal suture or internal and external internal suture for the treatment of the medial meniscus bucket handle tear is more favorable for the recovery of knee joint function than the meniscus subtotal/total resection.

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