膝关节镜下手术治疗膝关节半月板损伤31例的临床效果分析  

Clinical Analysis of Knee Arthroscopic Surgery for 31 Cases of Knee Meniscus Injury

作　　者：管戈 陈凯[1] 束军潮 洪金鹏[1] GUAN Ge;CHEN Kai;SHU Jun-chao;HONG Jin-peng(Department of Orthopaedics,Danyang Hospital of Traditional Chinese Medicine,Danyang,Jiangsu Province,212300 China)

机构地区：[1]江苏省丹阳市中医院骨伤科

出　　处：《世界复合医学》2019年第12期44-46,共3页World Journal of Complex Medicine

摘　　要：目的对膝关节镜下手术治疗膝关节半月板损伤的临床效果进行研究分析。方法选择在2013年6月-2019年6月期间该院救治的62例膝关节半月板损伤患者,将其分为实验组和比对组,对实验组患者施行膝关节镜下手术,对比对组患者实施开放手术,比对和分析62例患者在治疗前后的临床治疗效果以及膝关节功能评分。结果治疗后,实验组患者的治疗总有效率显著高于比对组(χ^2=13.370,P=0.000 <0.05);实验组患者的不良反应发生情况为2例,不良反应发生率为6.45%,比对组患者的不良反应发生情况为9例,不良反应发生率为29.03%,实验组患者的不良反应发生率显著低于比对组(χ^2=5.620,P=0.010<0.05),;治疗前,两组患者的Lysholm膝关节功能评分之间的差异无统计学意义(t=0.160,P=0.870),治疗后,实验组的Lysholm膝关节功能评分显著优于比对组(t=17.210,P=0.000 <0.05)。结论膝关节镜下手术治疗膝关节半月板损伤具有较好的临床效果,能有效改善患者的膝关节功能,并且治疗有效率高,不良反应发生情况较少,手术较为安全,值得大力推广与广泛应用。Objective To analyze the clinical effect of knee arthroscopic surgery for knee joint meniscus injury. Methods Sixty-two patients with knee meniscus injury who were treated in the hospital from June 2013 to June 2019 were enrolled. The patients were divided into experimental group and comparison group. The patients in the experimental group underwent knee arthroscopy. Open surgery was performed on the patients, and the clinical treatment effects and knee function scores of 62 patients before and after treatment were compared and analyzed. Results After treatment, the total effective rate of the patients in the experimental group was significantly higher than that in the comparison group(χ^2=13.370, P=0.00<0.050);in the experimental group, the incidence of adverse reactions was 2 cases, and the incidence of adverse reactions was 6.45%, 9 cases of adverse reactions occurred in the comparison group, the incidence of adverse reactions was 29.03%, and the incidence of adverse reactions in the experimental group was significantly lower than that in the comparison group(χ^2=5.620, P=0.010 <0.05);Before treatment, the difference between Lysholm knee function scores in the two groups was small,the difference was not statistically significant(t=0.160, P=0.870). After treatment, the Lysholm knee function score of the experimental group was significantly better than the ratio of the control group(t=17.210, 0.000 <0.05). Conclusion Knee arthroscopic surgery for knee joint meniscus injury has a good clinical effect, can effectively improve the knee function of patients, and the treatment efficiency is high, the incidence of adverse reactions is less, the operation is safe, it is worth promoting widely used.

关 键 词：膝关节镜 膝关节半月板损伤 临床效果 Lysholm评分 

分 类 号：R687.4[医药卫生—骨科学]