首页|外内缝合法与全内缝合法在老年半月板损伤关节镜治疗中的应用

外内缝合法与全内缝合法在老年半月板损伤关节镜治疗中的应用

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目的:探究外内缝合法与全内缝合法在老年半月板损伤关节镜治疗中的应用效果.方法:采用目的抽样法选择 2021 年 1 月—2022 年 6 月在徐州矿务集团总医院治疗的 100 例半月板损伤的老年患者,随机将其分为对照组和试验组,对照组(50 例)采用外内缝合法,试验组(50 例)采用全内缝合法进行关节镜治疗,并对治疗效果进行 6 个月的随访.对两组围手术期指标、膝关节功能、生活质量和术后并发症进行比较.结果:试验组手术时间短于对照组,差异有统计学意义(P<0.05);两组术中出血量和术后下床时间比较,差异均无统计学意义(P>0.05).术后 6 个月,两组膝关节损伤和骨关节炎评分(KOOS)和国际膝关节文献编制委员会膝关节评估表(IKDC)评分及健康调查简表(SF-36)各维度评分均提高,且试验组均高于对照组(P<0.05).试验组并发症发生率为 6.00%,低于对照组的22.00%,差异有统计学意义(P<0.05).结论:两种缝合方法在中长期随访中均取得良好的疗效,但全内缝合法在手术用时方面和降低并发症发生率方面具有优势.
The Application of Outside-in and All-inside Suture Method in Arthroscopic Treatment of Senile Meniscal Injury
Objective:To explore the application effect of outside-in and all-inside suture method in arthroscopic treatment of elderly meniscal injury.Method:A purposive sampling method was used to select 100 cases of elderly patients with meniscal injury treated in Xuzhou Mining Group General Hospital from January 2021 to June 2022,and they were randomly divided into a control group and an experimental group,the control group(50 cases)used the outside-in suture method,and the experimental group(50 cases)used the all-inside suture method for arthroscopic treatment,and the therapeutic effects were followed up for 6 months.The perioperative indexes,knee functions,quality of life and postoperative complications were compared between the two groups.Result:The operation time of the experimental group was shorter than that of the control group,the difference was statistically significant(P<0.05);there were no statistically significant differences in intraoperative bleeding and postoperative time out of bed between the two groups(P>0.05).At 6 months postoperatively,the scores of knee injury and osteoarthritis outcome score(KOOS),evaluating the role of international knee documentation committee(IKDC)and the MOS item short form health survey(SF-36)dimensions were improved in both groups,and those in the experimental group were higher than those in the control group(P<0.05).The incidence of the complication in the experimental group(6.00%)was lower than that in the control group(22.00%),the difference was statistically significant(P<0.05).Conclusion:Both suture methods have achieved good efficacy in medium and long-term follow-up,but the all-inside suture method has advantages in terms of operation time and reducing the incidence of complications.

Meniscal injuryOutside-in suture methodAll-inside suture methodArthroscopic surgeryElderly patients

刘国栋、王然、郑力

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徐州矿务集团总医院骨科 江苏 徐州 221000

半月板损伤 外内缝合法 全内缝合法 关节镜手术 老年患者

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(15)
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