缝线锚钉修复肾功能衰竭伴自发性股四头肌腱断裂的临床研究.docVIP

缝线锚钉修复肾功能衰竭伴自发性股四头肌腱断裂的临床研究 　　【摘要】 目的：评估缝线锚钉修复肾功能衰竭伴自发性股四头肌腱髌骨止点断裂的临床疗效。方法：2007年1月-2012年1月，对本院收治的21例肾功能衰竭伴自发性股四头肌腱断裂患者采用缝线锚钉行股四头肌腱髌骨止点修补缝合。术前常规实验室检查，拍摄患侧膝关节X线片及MRI；术后6周内支具保护，6周后行屈膝练习，术后2年测量患者屈膝角度。结果：21例患者均获得随访。随访结束，均未发生锚钉松动及脱出。术前术后均采用Lysholm和Kujala膝关节评分标准，评分差异有统计学意义（P0.05）。结论：选择适当的病例，应用缝线锚钉是修复肾功能衰竭伴自发性股四头肌腱髌骨止点断裂的有效方法。 　　【关键词】 缝线锚钉； 肾功能衰竭； 自发性股四头肌腱断裂； 修复 　　Clinical Research of Suture Anchor Nail Repair Renal Failure Associated with Spontaneous Femoral Quadriceps Tendon Rupture/YANG Rui， CHEN Xiang-yun， XIE Zhao-yang， et al.//Medical Innovation of China，2015，12（26）：039-042 　　【Abstract】 Objective： To assess the clinical efficacy of suture anchor nail repair renal failure associated with spontaneous femoral quadriceps tendon patellar check point of fracture.Method： From January 2007 to January 2012， 21 renal failure patients with spontaneous femoral quadriceps tendon rupture were given the nail line of patella femoral quadriceps tendon suture anchor check point repair suture. Preoperative routine laboratory examination was taken by lateral knee X-ray films and MRI. With a protection within 6 weeks， after 6 weeks bend knees practice was taken， and knees angle was measured 2 years later. Result： 21 patients were all followed up and in the end they were not loose bolts and emergence. The effect was evaluated by Kujala and Lysholm knee scoring standards and showed significant difference before and after operation （P0.05）. Conclusion： Selecting appropriate cases and using suture anchors is renal failure associated with spontaneous femoral quadriceps tendon patellar fracture effective method of check point. 　　【Key words】 Suture anchors； Renal failure； Spontaneous quadriceps tendon rupture； Repair 　　First-author’s address： The Fourth People’s Hospital of Hengshui City， Hengshui 053000， China 　　doi：10.3969/j.issn.1674-4985.2015.26.012 　　股四头肌腱髌骨附丽点断裂多为创伤所致，青壮年男性多见，而肾功能衰竭伴自发性股四头肌腱断裂则十分少见。因其发病机制复杂，起病隐匿易漏诊，术后功能恢复不良而再次断裂等特点，越来越受到医学界的关注。近年来，慢性肾脏疾病（Chronic kidney disease，