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[1]張輝,莊萬強(qiáng),魏慶華,等.關(guān)節(jié)鏡手術(shù)治療前交叉韌帶斷裂合并半月板損傷[J].中醫(yī)正骨,2018,30(07):56-57.
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關(guān)節(jié)鏡手術(shù)治療前交叉韌帶斷裂合并半月板損傷()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年07期
頁碼:
56-57
欄目:
臨床報(bào)道
出版日期:
2018-07-20

文章信息/Info

作者:
張輝莊萬強(qiáng)魏慶華駱勇剛雷海唐毅
(四川省簡陽市人民醫(yī)院,四川 簡陽 641400)
關(guān)鍵詞:
膝損傷 關(guān)節(jié)鏡檢查 前交叉韌帶重建 半月板脛骨
摘要:
目的:觀察關(guān)節(jié)鏡手術(shù)治療前交叉韌帶(anterior cruciate ligament,ACL)斷裂合并半月板損傷的臨床療效及安全性。方法:2015年5月至2016年5月,采用關(guān)節(jié)鏡手術(shù)治療ACL斷裂合并半月板損傷患者42例。男25例,女17例。年齡20~45歲,中位數(shù)35.5歲。左膝23例,右膝19例。內(nèi)側(cè)半月板損傷20例,外側(cè)半月板損傷22例。Lachman試驗(yàn)陽性41例,前抽屜試驗(yàn)陽性36例。受傷至手術(shù)時(shí)間7~15 d,中位數(shù)10.5 d。術(shù)后隨訪觀察膝關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間12~24個(gè)月,中位數(shù)15.5個(gè)月。2例患者術(shù)后伸膝肌力較健側(cè)弱,未出現(xiàn)其他臨床癥狀,囑其加強(qiáng)股四頭肌功能鍛煉,至末次隨訪時(shí)肌力恢復(fù)正常。均未出現(xiàn)血管神經(jīng)損傷及切口感染等并發(fā)癥。末次隨訪時(shí),所有患者Lachman試驗(yàn)、前抽屜試驗(yàn)均為陰性。Lysholm膝關(guān)節(jié)評分,術(shù)前(41.2±9.7)分、末次隨訪時(shí)(88.7±9.1)分。結(jié)論:關(guān)節(jié)鏡手術(shù)治療ACL斷裂合并半月板損傷,可以促進(jìn)膝關(guān)節(jié)功能恢復(fù),且安全性較高,值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:


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通訊作者:唐毅 E-mail:[email protected]
更新日期/Last Update: 2018-11-30