Ortho One PROMT评分预测半月板撕裂可修复性的作用  

The Role of Ortho One PROMT Score in Predicting the Repairability of Meniscus Tear

作　　者：肖琼润 杨国夫[1] 孙浩源 Xiao Qiongrun;Yang Guofu;Sun Haoyuan(Department of Orthopedics,the First Affiliated Hospital of Harbin Medical University,Heilongjiang 150007,China)

机构地区：[1]哈尔滨医科大学附属第一医院骨科,黑龙江哈尔滨150007

出　　处：《实用骨科杂志》2020年第7期587-590,604,共5页Journal of Practical Orthopaedics

摘　　要：目的本研究目的在于评估Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性,检验其是否具备解决术前半月板手术方式预测困难的能力。方法纳入本院2019年3月至2019年12月因半月板损伤而接受关节镜下手术者55膝58侧半月板。本研究分为两个部分。第一部分:评分过程由两位医生按Ortho One PROMT评分细则分别对半月板损伤者进行独立评分,并根据得分预测半月板手术术式。第二部分:将两位评分医生预测的半月板手术术式分别与手术医生的实际手术术式进行一致性比较,最终评价Ortho One PROMT评分在预测半月板撕裂可修复性方面的准确性、敏感度及特异度。结果评分医生预测半月板修复的平均正确率为86.9%,平均敏感度为86.9%,平均特异度为87.5%,平均阳性预测值92.9%,平均阴性预测值为77.9%;预测半月板切除的平均正确率为87.5%,平均敏感度为87.5%,平均特异度为86.9%,平均阳性预测值为77.9%,平均阴性预测值为92.9%。两位评分医生的预测结果与手术医生的实际术式高度一致(k=0.78,k=0.67)。结论Ortho One PROMT评分预测半月板撕裂可修复性不仅简便、可操作性强,而且具有良好的准确性、敏感度和特异度,能够有效解决当前术前半月板手术方式预测困难的问题,具有一定的临床应用推广价值。Objective At present,it is still difficult to accurately predict the surgical method of meniscus injury before surgery.The purpose of this study was to evaluate the accuracy of the Ortho One PROMT score in predicting the repairability of meniscus tears,and to test whether it has the solution to the difficulty of predicting meniscus surgery before surgery.Methods 58 meniscuin 55 kneesunderwent arthroscopic surgery for meniscus injury from March 2019 to December 2019 were included in our hospital.This study was divided into two parts.Inthe part I,scoring process was performed by two grading doctors,who scored the meniscus injury independently according to the Ortho One PROMT scoring rules,and predicted the operation of meniscus surgery based on the score.Inthe part II,we compared the meniscus surgical procedures predicted by the two scoring doctors with the actual surgical procedures of the surgeons,and finally evaluate the accuracy,sensitivity and specificity of the Ortho One PROMT score in predicting the repairability of meniscus tears.Results The scoring doctor predicted that the average correct rate of meniscus repair was 86.9%,the average sensitivity was 86.9%,and the average specificity was 87.5%.The average correct rate of the predicted meniscectomy was 87.5%,the average sensitivity was 87.5%,and the average specificity was 86.9%.The prediction results of the two scoring doctors were highly consistent with the actual operation methods of the surgeon(k=0.78,k=0.67).Conclusion The Ortho One PROMT score predicts meniscus tear repairability is not only simple and easy to operate,but also has good accuracy,sensitivity and specificity.It can effectively solve the problem of difficulty in predicting the meniscus surgery,and has the value of clinical application.

关 键 词：半月板撕裂 Ortho One PROMT评分 半月板修复性 术前预测 

分 类 号：R684[医药卫生—骨科学]