关节微创技术在膝骨关节骨创伤治疗中应用探讨  

Application of Minimally Invasive Technique in the Treatment of Knee Joint Bone Trauma

作　　者：马伟巍[1] 汪维[1] 曹欣宇[1] MA Wei-wei;WANG Wei;CAO Xin-yu(Department of Traumatology and Orthopedics,Shanghai Seventh People's Hospital,Shanghai,200137 China)

机构地区：[1]上海市第七人民医院创伤骨科,上海200137

出　　处：《世界复合医学》2020年第11期96-99,共4页World Journal of Complex Medicine

摘　　要：目的观察关节微创术治疗膝骨关节骨创伤患者的疗效。方法选择2018年4月-2019年8月收治的86例膝骨关节骨创伤患者,甲组43例接受常规手术治疗,乙组43例采用关节微创术治疗,比较两组患者临床疗效。结果乙组治疗优良率为95.35%,高于甲组的76.74%,差异有统计学意义(χ~2=6.198,P=0.013);乙组患者手术切口、手术用时、术中失血量、骨折愈合时间依次为(4.92±0.87)cm、(75.41±11.20)min、(88.79±17.85)mL、(8.47±0.67)周,和甲组(8.23±1.69)cm、(83.64±10.74)min、(128.41±19.36)mL、(11.89±1.02)周相比较,差异有统计学意义(t=13.242、5.234、11.230、4.526,P<0.05)。治疗后,乙组患者LEFS、KSS评分分别为(74.26±2.36)分、(86.57±4.69)分,均高于同期甲组的(59.74±4.02)、(70.65±3.26)分,差异有统计学意义(t=7.524、6.254,P<0.05)。结论关节微创术治疗膝骨关节骨创伤,疗效确切,值得推广。Objective To observe the effect of joint minimally invasive surgery on patients with knee joint bone trauma. Methods 86 pa-tients with knee bone and joint bone trauma were selected from April 2018 to August 2019. 43 cases in group A were treated by con-ventional surgery, and 43 cases in group B were treated with joint minimally invasive surgery. The clinical effects of the two groups were compared. Results The excellent and good rate of treatment in group B was 95.35%, which was higher than 76.74% in group A,which was statistically significant difference(χ~2=6.198, P=0.013);surgical incision, operation time, intraoperative blood loss, and fracture healing time in group B were followed by(4.92 ±0.87) cm,(75.41±11.20)min,(88.79±17.85)mL,(8.47±0.67)weeks, and group A(8.23 ±1.69) cm,(83.64 ±10.74)min,(128.41 ±19.36)mL and(11.89 ±1.02) weeks, the difference was statistically significant(t =5.234,11.230, 13.242, 4.526, P<0.05). After treatment, the LEFS and KSS scores of the patients in group B were(74.26±2.36)points,(86.57±4.69) points, respectively, which were higher than the(59.74±4.02)points,(70.65±3.26) points of group A in the same period, the difference was statistically significant(t=6.254,7.524, P<0.05). Conclusion Minimally invasive surgery for knee joint bone trauma is effective and worthy of promotion.

关 键 词：膝骨关节骨 创伤 关节微创技术 疗效 

分 类 号：R687.4[医药卫生—骨科学]