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影响价值体会  

Clinical effect of arthroscopic treatment of discoid meniscus injury in knee joint and value of postoperative pain

作　　者：韦浩 WEI Hao(The Guangxi Duanyao Autonomous County Peopled Hospital, Outside Two Branches 530700)

机构地区：[1]广西都安瑶族自治县人民医院外二科,广西都安530700

出　　处：《中国伤残医学》2019年第12期11-13,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究将关节镜用于治疗膝关节盘状半月板损伤中的效果,评价其治疗后术后疼痛的状况。方法:回顾性分析我院2017年10月-2018年9月间收入的所有膝关节盘状半月板损伤患者的一般资料,根据实验要求将所有患者的一般资料进行统计分析后,抽取出74例患者纳入本次研究开展实验。通过2组随机均分法,将所有患者分为2组,分别为对照组和观察组,每组中均录入37例患者。对照组患者采用半开放性半月板修复术进行治疗,观察组患者则应用膝关节镜手术方案进行治疗,对比2组患者的治疗总有效率和术后疼痛评分以及半月板恢复时间。结果:实验结果显示,观察组患者的治疗总有效率为35(94.59%),对照组患者的治疗总有效率为24(64.86%);同时观察组患者的半月板恢复时长为(45.9±8.5)天,对照组患者的半月板恢复时间为(68.1±9.1)天,同时,观察组患者的疼痛评分较对照组更低,提示观察组患者的疼痛感较弱,组间差异具有统计学意义(P<0.05)。结论:在对膝关节盘状半月板损伤患者进行治疗时,应用关节镜进行治疗,能够有效缩短患者的术后恢复时间,减轻患者的术后疼痛感,对于患者的康复来说有积极意义,是一种有效且安全的手术方案,值得推广使用。Objective:To explore the effect of arthroscopy in the treatment of discoid meniscus injury of knee joint,and to evaluate the postoperative pain.Methods:Retrospective analysis of our hospital from October 2017 to September 2018 income of all patients with dis-coid meniscus injury of the knee joint general data,according to the experimental requirements of all patients with general data for statisti cal analysis,74 patients were selected for this study to carry out the experiment.All patients were divided into two groups randomly,named as control group and experimental group,and 37 patients were enrolled in each group.Patients in the control group were treated with semi-open meniscectomy,while patients in the experimental group were treated with knee joint surgery.The total effective rate,postoperative pain score and meniscus recovery time were compared between the two groups.Results:The results showed that the total ef fective rate was 35(94.59%)in the experimental group and 24(64.86%)in the control group,and the meniscus recovery time in the experimental group was(45.9 8.5)days and(68.1 9.1)minutes in the control group.The pain score of the experimental group was lower than that of the control group,suggesting that the pain of the experimental group was weaker,and the difference was statistically sig nificant(P<0.05).Conclusion:Arthroscopy could effectively shorten the recovery time and relieve the postoperative pain of patients with discoid meniscus injury of knee joint.It was an effective and safe operation plan for the rehabilitation of patients and was worth popu larizing.

关 键 词：关节镜治疗 膝关节盘状半月板 微创治疗 手术方案 

分 类 号：R684[医药卫生—骨科学]