【作者】 赵曦；

【导师】 陈世荣；

【作者基本信息】 重庆医科大学 ， 外科学， 2012， 硕士

【摘要】 目的：观察使用全内缝合法进行半月板缝合后患者膝关节的功能恢复和症状缓解的情况，及半月板缝合的临床愈合率。方法：从2007年1月到2010年12月，对46位符合纳入标准并使用全内缝合技术缝合半月板的患者进行随访及回顾性分析，随访时间12-57月,平均33±13月。全部患者使用FasT-Fix半月板缝合装置缝合半月板，根据术前术后的HSS评分及VAS评分的变化来评价其手术效果，根据Barrett标准来判断半月板临床愈合情况。结果：本次研究中，随访时间12-57月,平均33±13月。平均HSS评分为术前61.7±7.4，术后89.8±9.4（P<0.01），术后有41位患者HSS评分达到优或良（80分以上）。平均VAS评分为术前5.9±1.2，术后为1.6±1.3（P<0.01）。5位患者根据Barrett标准半月板未愈合，因此半月板临床愈合率为89.1%。没有发现血管神经损伤及其他因为使用全内缝合装置引起的严重并发症。结论：本次研究显示，使用全内缝合法缝合半月板体部及后角的纵形撕裂临床愈合率为89.1%。半月板缝合后可以明显改善疼痛症状、恢复膝关节的功能。性别、年龄、病程、半月板位置（内/外侧）、损伤部位、是否伴有前交叉韧带重建等因素对半月板缝合的临床愈合率没有影响。更多还原

【Abstract】 Objectiv: The goal of this study was to observe the result of kneefunction restore, relief of pain and the success rate after arthroscopicall-inside technique suture menisci in patients.Methods: A retrospective review of46patients used all-insidetechnique suture menisci from Jan.2007to Dec.2010. The follow-up timewas12–57month，average33±13months. All patients used the FasT-Fixmeniscal suture system. All patinert were evaluated the result of meniscalsuture according to the HSS score and VAS score preoperatively andpostoperatively, and evaluated the menisci whether healed based onBarrentt criteria.Results: In this study, the average HSS score significantly improved from61.7±7.4preoperatively to89.8±9.4postoperatively (P <0.001),41out46patiente had an excellent or good results according to the HSSscore(more than80). The average VAS score significantly improved from5.9±1.2preoperatively to1.6±1.3postoperative (P <0.01).5out46patients remain had a positive McMurray test or/and tenderness onjoint-line palpation, the success rate was89.1%. and no neurovascular or other major complications was detected directly associated with the use ofall-inside device.Conclusion: This study showed a89.1%success rate of all-insidetechnique suture longitudinal tears located meniscal body or posterior horn.Significantly improved in alleviate pain and restore knee joint functionafter meniscal sutrue. Gender, age, time from injury to operation, themeniscus side (medial/lateral), the site of injury, whether concomitantanterior cruciate ligament reconstruction had no effect on the success rateof meniscus suture.更多还原