关节镜微创手术治疗膝关节半月板损伤患者临床疗效及对生活质量的影响  

Clinical efficacy of arthroscopic minimally invasive surgery in the treatment of patients with knee joint meniscus injury and its effect on quality of life

作　　者：何华宾[1] 吴冰[2] 刘训志[1] 项卫卫[1] 罗景胜 陈文龙[1] 何澄[1] HE Huabin;WU Bing;LIU Xunzhi;XIANG Weiwei;LUO Jingsheng;CHEN Wenlong;HE Cheng(Department of Orthopedics,First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,China;Teaching and Research Office of Anatomy,Gannan Medical University,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院骨一科,江西赣州341000 [2]赣南医学院解剖教研室,江西赣州341000

出　　处：《中国现代医生》2019年第15期69-71,76,共4页China Modern Doctor

摘　　要：目的探讨关节镜微创手术在膝关节半月板损伤治疗中的应用效果及其对生活质量的影响。方法选取本院2015年1月~2018年6月接收的膝关节半月板损伤患者76例为研究对象,随机分为两组,各38例,对照组开展半开放性半月板切除术治疗,研究组则接受关节镜微创手术治疗;统计各组治疗效果、手术相关指标及治疗前后生活质量评分。结果在治疗总有效率方面,研究组与对照组分别是94.74%和76.32%,研究组显著高于对照组,差异有统计学意义(P<0.05);研究组在手术时间、住院时间及术后功能恢复时间方面较对照组更低,差异有统计学意义(P<0.05);研究组的生理职能、生理功能、躯体疼痛、生命活力、情感职能、总体健康、社会功能及精神健康等生活质量评分均较对照组更高,差异有统计学意义(P<0.05);研究组与对照组并发症发生率分别是5.26%和21.05%,研究组低于对照组(P<0.05)。结论膝关节半月板损伤治疗,采取关节镜微创手术治疗,不仅可以改善患者关节功能,减轻患者疼痛,同时有助于患者在短时间内恢复健康,促进生活质量的提高,避免其他疾病的发生。Objective To investigate the application effect of arthroscopic minimally invasive surgery in the treatment of knee joint meniscus injury and its effect on quality of life. Methods 76 patients with knee joint meniscus injury who were admitted to our hospital from January 2015 to June 2018 were selected as study subjects, and were randomly divided into two groups, with 38 patients in each group. The control group was given semi-open meniscal resection for treatment, and the study group was given arthroscopic minimally invasive surgery for treatment;the therapeutic effects, surgery-related indicators, and quality of life scores before and after treatment were statistically analyzed in both groups. Results In terms of total effective rate of treatment in the study group and the control group were 94.74% and 76.32%, respectively. The study group was significantly higher than the control group, and the difference was statistically significant (P<0.05);in terms of the operation time, length of stay and postoperative functional recovery time, the study group was lower than the control group, and the differences were statistically significant(P<0.05);in terms of the quality of life scores such as the physiological function, physiological function, physical pain, vitality, emotional function, overall health, social function and mental health in the study group was higher than those in the control group, and the differences were statistically significant(P<0.05);the incidence of complications in the study group and the control group was 5.26% and 21.05%, respectively, and the study group was lower than the control group(P<0.05). Conclusion Arthroscopic minimally invasive surgery in the treatment of knee joint meniscus injury can not only improve the joint function of patients, but also reduce the pain of patients, help patients recover health in a short period of time, promote the improvement of quality of life and avoid other diseases.

关 键 词：关节镜微创手术 生活质量 膝关节半月板损伤 住院时间 功能恢复 

分 类 号：R684.76[医药卫生—骨科学]