摘要
目的探讨环钻术联合可吸收带线铆钉修复半月板前角撕裂的临床疗效。方法回顾性分析2012年8月至2013年12月21例半月板前角撕裂患者临床资料。术前MRI及术中关节镜证实半月板前角撕裂,所有患者均于关节镜下行环钻术联合可吸收带线铆钉修复半月板前角撕裂,术后进一步行康复训练,术前术后利用Lysholm、HSS评分系统评估患者膝关节功能状况。结果术后所有患者均随访6-9个月,膝关节Lysholm评分：术前（45.43±6.764）、术后（94.71±3.101）;HSS评分：术前（44.48±4.468）、术后（93.81±2.657）,差异均具有统计学意义（P〈0.05）。应用上述两种评分评定疗效优良率分别为90.47%、85.71%。结论环钻术联合可吸收带线铆钉是修复半月板前角撕裂的一种有效方法。
Objective To investigate the clinical effectiveness of trephination combined with absorbable anchors for repairing anterior horn tear of the meniscus. Methods Retrospective analysis was performed on the clinical data of 21 patients diagnosed with anterior horn tear of the meniscus by MRI and arthroscopy from August 2012 to December 2013. All the cases received arthroscopic repair utilizing trephination combined with absorable anchors,and the clinical effect was evaluated by the scores before and after operation through Lysholm and HSS system. Results All the cases were followed-up for 6 to 9 months later. Preoperative Lysholm and HSS scores were（ 45. 43 ± 6. 764） points and（ 44. 48 ± 4. 468） points respectively,while postoperative scores were（ 94. 71 ± 3. 101） points and（ 93. 81 ± 2. 657） points. There was statistically significance between preoperation and postoperation（ P〈0. 05）,and the cure rates judged by the scores of that two systems were 90. 47% and 85. 71% respectively. Conclusion Trephination combined with absorbable anchors is an effective method to repair anterior horn tear of the meniscus.
出处
《河南科技大学学报（医学版）》
2015年第1期24-26,共3页
Journal of Henan University of Science & Technology:Medical Science
