自体纤维血凝块移植联合关节镜下FasT-Fix修复手术对半月板撕裂患者的治疗效果分析

doi:10.3969/j.issn.1006-6233.2022.07.025

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摘要 目的: 分析自体纤维血凝块移植联合关节镜下FasT-Fix修复手术对半月板撕裂患者的治疗效果。方法: 回顾性分析2019年2月至2021年2月我院收治的145例半月板撕裂患者临床资料,按照手术方式分为观察组74例和对照组71例,对照组予以关节镜下FasT-Fix修复手术,观察组行自体纤维血凝块移植联合关节镜下FasT-Fix修复手术,比较两组患者治疗前后膝关节功能(IKDC)、疼痛(VAS)、Lysholm以及膝关节运动(Tegner)评分,预后状况以及不良反应的发生状况。结果: 两组治疗前后差值比较,观察组Lysholm及Tegner评分升高幅度均大于对照组(P<0.05),观察组VAS评分降低幅度大于对照组(P<0.05),IKDC升高幅度均高于对照组(P<0.05);观察组患者不良反应的发生率为2.70%明显低于对照组的11.27%,(P<0.05);观察组患者半月板愈合状况优于对照组(P<0.05)。结论: 自体纤维血凝块移植联合治疗较单纯关节镜下FasT-Fix修复手术治疗更有利于提高半月板撕裂患者的Lysholm、Tegner及IKDC评分,降低VAS评分,同时降低不良反应的发生率,促进半月板的愈合。

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关键词 ：自体纤维血凝块, FasT-Fix修复术, 半月板撕裂, 疗效

Abstract：Objective: To analyze the therapeutic effect of autogenous fiber blood clot transplantation combined with arthroscopic FasT-Fix for meniscus tear. Methods: The clinical data of 145 patients with meniscus tear admitted to our hospital from February 2019 to February 2021 were retrospectively analyzed and divided into observation group (n = 74) and control group (n = 71) according to surgical methods.The control group underwent arthroscopic FasT-Fix surgery,and the observation group underwent autogenous fiber blood clot transplantation combined with arthroscopic FasT-Fix surgery.The knee function (IKDC),pain (VAS),Lysholm and knee motion (Tegner) scores,prognosis and incidence of adverse reactions were compared between two groups before and after treatment. Results: Comparison of the difference between the two groups before and after treatment showed that the increase of Lysholm and Tegner scores in the observation group was greater than that in the control group (P<0.05),the decrease in the VAS score in the observation group was greater than that in the control group (P<0.05),and the increase in IKDC was higher than that in the control group (P<0.05).The incidence of adverse reactions in observation group (2.70%) was significantly lower than that in control group (11.27%),and the difference was statistically significant (P<0.05).Meniscus healing status of observation group was better than control group (P<0.05). Conclusion: Compared with arthroscopic FasT-Fix repair surgery alone,the combined treatment with autologous fibrillary blood clot transplantation was more beneficial to improve the Lysholm,Tegner and IKDC scores of meniscus tears,reduce the VAS scores and the incidence of adverse reactions,and promote meniscus healing.

Key words： Autofibrillary blood clot FasT-Fix repair Meniscus tear Curative effect

基金资助:海南省卫生计生行业科研项目,(编号:19A200104)

引用本文:

陈春好, 张春礼, 黎国权, 张晓芳, 王宫泽. 自体纤维血凝块移植联合关节镜下FasT-Fix修复手术对半月板撕裂患者的治疗效果分析[J]. 河北医学, 2022, 28(7): 1177-1182.
CHEN Chunhao, ZHANG Chunli, LI Guoquan, et al. Analysis of the Effectiveness of Autogenous Fiber Blood Clot Transplantation Combined with Arthroscopic FasT-Fix Repair surgery in Patients with Meniscal Tears. HeBei Med, 2022, 28(7): 1177-1182.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2022.07.025 或 http://www.hbyxzzs.cn/CN/Y2022/V28/I7/1177

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