关节镜治疗膝关节盘状半月板损伤的临床疗效及术后疼痛的危险因素分析  

Analysis of the clinical effect of arthroscopy in treatment of knee joint discoid meniscus injury and the risk factors of postoperative pain

作　　者：占鹏[1] 陈东风[1] 蒋建清[1] 李瑛[1] 邹国平[1] ZHAN Peng CHEN Dongfeng JIANG Jianqing LI Ying ZOU Guoping(Department of Orthopedics, Longyan First Hospital Affiliated to Fujian Medical University, Fujian Province Longyan City the First Hospital, Longyan 364000, Chin)

机构地区：[1]福建医科大学附属龙岩第一医院骨科,福建省龙岩市第一医院,福建龙岩364000

出　　处：《中国现代医生》2017年第8期83-85,共3页China Modern Doctor

摘　　要：目的探讨膝关节盘状半月板损伤应用关节镜治疗的效果及术后疼痛的危险因素。方法收集2015年7月~2016年9月我院治疗的膝关节盘状半月板损伤患者106例,按不同术式分为观察组(采取关节镜下半月板成形术,n=68)和对照组(采取半月板次全切术,n=38),比较两组的手术效果,并根据患者的术后情况将患者分为无痛组和疼痛组,分析术后疼痛的危险因素。结果两种手术疗效比较无明显差异(P>0.05),而术后疼痛危险因素包括冷敷、关节软骨损伤、负重时间、平均年龄;无痛组术后Lyscholm评分显著高于疼痛组(P>0.05)。结论膝关节盘状半月板损伤患者应用关节镜治疗,可取得理想的疗效,而冷敷、软骨损伤等是患者术后疼痛发生的危险因素。Objective To explore the effect of arthroscopy in the treatment of knee joint discoid meniscus injury and the risk factors of postoperative pain. Methods A total of 106 patients with knee joint discoid meniscus injury who were given the treatment in our hospital from July 2015 to September 2016 were collected and enrolled in this study. The patients were divided into the observation group（arthroseopie meniscus angioplasty, n=68） and the control group （subtotal resection of meniscus,n=38） according to different surgical procedures. The surgical effect was analyzed be- tween two groups. According to the postoperative conditions, the patients were divided into the painless group and pain group. The risk factors of postoperative pain were analyzed. Results There were no significant differences in the cura- tive effect between the two surgeries （P〉0.05）. The postoperative risk factors of pain included cold compress, articular cartilage injury, weight-bearing time and mean age; Lyscholm score after the surgery was significantly higher in the painless group than in the pain group（P〉0.05）. Conclusion Arthroscopy in the treatment of knee joint discoid meniscus injury can achieve the desired effect, and cold compress and cartilage injury are the risk factors ofpostoperative pain.

关 键 词：半月板 膝关节 关节镜 疼痛 危险因素 

分 类 号：R684.76[医药卫生—骨科学]