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目的总结膝关节镜下前交叉韧带(ACL)重建术的手术配合方法。方法回顾性分析68例行膝关节镜下ACL重建术患者的临床资料,总结手术护理配合的要点与经验。结果 68例患者手术时间为80~125 min,平均手术时间为(103.23±6.92)min;术中出血量为50~100 ml,平均出血量为(87.13±9.93)ml;术后住院时间为11~19 d,平均住院时间为(14.64±2.57)d。所有患者均治愈出院,无一例发生关节内感染。术后6周膝关节屈曲120°以上63例,占92.65%。术后2个月Lysholm评分为(91.24±4.11)分。结论良好的手术护理配合是保证膝关节镜下ACL重建术顺利进行、提高治疗效果的重要条件。
Objective To summarize the surgical methods of arthroscopic anterior cruciate ligament reconstruction. Methods The clinical data of 68 patients with knee arthroscopy undergoing ACL reconstruction were retrospectively analyzed. The main points and experiences of surgical nursing cooperation were summarized. Results The operation time of the 68 patients was 80 to 125 minutes and the mean operation time was (103.23 ± 6.92) min. The blood loss was 50-100 ml and the average amount of bleeding was (87.13 ± 9.93) ml. The postoperative hospital stay was 11 ~ 19 d, the average hospital stay was (14.64 ± 2.57) d. All patients were cured and discharged without any intra-articular infection. Six weeks after operation, knee flexion was over 120 ° in 63 cases, accounting for 92.65%. The Lysholm score at 2 months after operation was (91.24 ± 4.11) points. Conclusion Good surgical nursing cooperation is to ensure that knee arthroscopy ACL reconstruction carried out smoothly and improve the treatment of important conditions.