摘要
[目的]比较传统与微创缝合术治疗修复急性闭合性跟腱断裂的临床效果。[方法]2016年5月-2019年11月,对64例(64足)急性闭合性跟腱断裂患者行手术缝合修复术。依据术前医患沟通结果,30例行传统切开缝合术,34例行通道辅助微创修复系统(channel-assisted minimally invasive repair,CAMIR)缝合术。比较两组围手术期、随访和影像资料。[结果]微创组手术时间[(56.40±4.21)min vs(78.24±8.75)min,P<0.05]、切口长度[(3.75±0.50)cm vs(12.90±1.77)cm,P<0.05]和术中出血量[(12.29±1.75)ml vs(24.5±2.92)ml,P<0.05]均显著优于传统组。术后随访(23.80±3.75)个月。与术前相比,末次随访时两组VAS评分显著减少(P<0.05),而AOFAS和ATRS评分显著增加(P<0.05)。至末次随访时,微创组的VAS评分[(0.99±0.30)vs(1.34±0.28),P<0.05]和AOFAS评分[(81.15±3.28)vs(77.27±2.21),P<0.05]均显著优于传统组,但两组间ATRS评分的差异无统计学意义(P>0.05)。[结论]与传统切开缝合术相比,CAMIR微创缝合具有创伤小、术后功能恢复更好的的优势。
[Objective]To compare the clinical efficiency of traditional and minimally invasive sutures for acute closed Achilles tendon rupture.[Methods]From May 2016 to November 2019,64 patients(64 feet)underwent surgical repair for acute closed Achilles tendon rupture in our hospitals.According to the results of preoperative doctor-patient communication,30 patients were treated with traditional open suture,while the other 34 patients had the tendon sutured by channel-assisted minimally invasive repair(CAMIR).The perioperative,follow-up and imaging documents were compared between the two groups.[Results]The CAMIR group proved significantly superior to the traditional group regarding to operation time[(56.40±4.21)min vs(78.24±8.75)min,P<0.05],incision length[(3.75±0.50)cm vs(12.90±1.77)cm,P<0.05]and intraoperative blood loss[(12.29±1.75)ml vs(24.5±2.92)ml,P<0.05].The postoperative follow-up period lasted for(23.80±3.75)months on average.The VAS scores decreased significantly(P<0.05),while the AOFAS and ATRS scores increased significantly in both groups at the latest follow-up compared with those before operation(P<0.05).At the latest follow-up,the CAMIR group was significantly better than the traditional group in terms of VAS score[(0.99±0.30)vs(1.34±0.28),P<0.05]and AOFAS score[(81.15±3.28)vs(77.27±2.21),P<0.05],nevertheless there was no a statistically significant difference in ATRS scores between the two groups(P>0.05).[Conclusion]Compared with traditional open suture,the minimally invasive suture by using CAMIR has the advantages of less trauma and better postoperative functional recovery.
作者
庞晖
崔健
李建军
梁希港
姜厚森
PANG Hui;CUI Jian;LI Jian-jun;LIANG Xi-gang;JIANG Hou-sen(The People’s Hospital of Binzhou City,Binzhou 256600,China;Weifang Medical College,Weifang 261053,China;People、Hospital of Weifang City,Weifang 261000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2022年第4期325-328,共4页
Orthopedic Journal of China
关键词
急性闭合性跟腱断裂
缝合术
通道辅助微创修复系统
acute closed Achilles tendon tear
suture
channel-assisted minimally invasive repair
