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关节镜下经针道、克氏针辅助半月板缝合治疗半月板损伤的效果分析

Effect of Meniscal Suture Assisted by Needle Channel and Kirschner Wire on Meniscal Injury under Arthroscopy
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摘要 目的:分析关节镜下经针道、克氏针辅助半月板缝合治疗半月板损伤的临床效果。方法:选取2018年8月—2022年8月铜仁市人民医院收治的半月板损伤患者16例为观察对象,均采用关节镜下经针道、克氏针辅助半月板缝合治疗,展开长期随访,观察治疗效果、患者满意度、术后并发症发生情况、住院费用、住院天数,比较手术前后Lysholm膝关节评分。结果:16例患者的治疗效果均较为优良,手术成功率为100%,15例患者治愈,1例患者治疗后好转,治愈好转率及满意度为100%,患者均未出现临床并发症,患者平均住院费用为13650元,平均住院天数为12.18 d;术后患者Lysholm膝关节评分高于术前,差异有统计学意义(P=0.007)。结论:关节镜下经针道、克氏针辅助半月板缝合治疗后临床效确切果,术后并发症发生率较低,有利于提高患者满意度,改善膝关节功能。 Objective:To analyze the clinical effect of meniscal injury treated by arthroscopic meniscal suture assisted by needle channel and Kirschner wire.Methods:Sixteen patients with meniscus injury treated in Tongren People's Hospital from August 2018 to August 2022 were selected as the observation objects,and all of them were treated with meniscus suture assisted by needle channel and Kirschner wire under arthroscopy.Long-term follow-up was conducted to observe the therapeutic effect,patient satisfaction,postoperative complications,hospitalization cost,hospitalization days.Lysholm knee joint score before and after surgery were compared.Results:The treatment effect of 16 patients was good,the success rate of operation was 100%,15 patients were cured,and 1 patient was improved after treatment,the cure improvement rate and satisfaction rate were 100%,and no clinical complications occurred in the patients,the average hospitalization cost of the patients was 13650 yuan,and the average hospitalization days were 12.18 days;Lysholm knee joint score was higher after surgery than before surgery,and the difference was statistically significant(P=0.007).Conclusion:The clinical effect of arthroscopic meniscus suture assisted by needle channel and Kirschner wire is accurate,and the incidence of postoperative complications is low,which is conducive to improving patient satisfaction and knee joint function.
作者 程坤 杨正杰 杨柳 Cheng Kun;Yang Zhengjie;Yang Liu(Tongren People's Hospital,Tongren 554300,Guizhou Province,China)
机构地区 铜仁市人民医院
出处 《中外医药研究》 2023年第22期36-38,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 半月板缝合 关节镜 克氏针 半月板损伤 Meniscus suture Arthroscopy Kirschner wire. Meniscus damage
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