膝关节镜检联合带线锚钉修复Ⅲ度膝内侧副韧带损伤的效果  

The Effect of Knee Arthroscopy Combined with Wire Anchors in Repairing Third Degree Knee Medial Collateral Ligament Injury

作　　者：乔宇 唐鹤 孙宇[3] 陈崇民[3] QIAO Yu;TANG He;SUN Yu;CHEN Chongmin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]北华大学护理学院 [3]沈阳市骨科医院

出　　处：《中外医学研究》2021年第11期20-22,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：辽宁省科学技术计划项目(1560928292846)。

摘　　要：目的:探究在治疗Ⅲ度膝内侧副韧带损伤中应用膝关节镜检查及带线锚钉修复的效果。方法:选取本院2019年1月-2020年1月收治的70例Ⅲ度膝内侧副韧带损伤患者为例展开研究,基于70例患者治疗方法的不同分组比较,其中行膝关节镜下常规手术治疗的为对照组,在膝关节镜检同时进行带线锚钉修复治疗的为观察组,两组的手术指标、膝关节功能评分及稳定性进行比较。结果:组间手术指标比较,观察组手术时间(52.3±4.2)min,住院时间(5.2±1.0)d,均短于对照组,而术中出血量(40.8±6.5)ml,少于对照组,差异均有统计学意义(P<0.05)。组间治疗前后膝关节功能评分比较,术前,两组差异无统计学意义(P>0.05);术后1年,观察组膝关节功能评分(94.8±3.8)分,高于对照组(P<0.05)。两组膝关节稳定性比较,术前,两组Lysholm评分差异无统计学意义(P>0.05),术后1年,观察组Lysholm评分(85.4±3.4)分,明显更高,差异有统计学意义(P<0.05)。结论:在治疗Ⅲ度膝内侧副韧带损伤上,应用膝关节镜检联合带线锚钉修复治疗具有非常显著的效果,值得推广。Objective:To explore the effect of knee arthroscopy and wire anchor repair in the treatment of third degree knee medial collateral ligament injury.Method:A total of 70 patients with the third degree medial collateral ligament injury who were admitted from January 2019 to January 2020 were selected and divided into two groups according the treatment method.The patients who were treated with the conventional surgery were selected as the control group.The patients who were treated with knee arthroscopy combined with wire anchor were selected as the observation group,and the results of the two groups such as surgical indicators,the knee joint function scores and the stability of the knee joints were compared.Result:Comparison of surgical indicators between groups,the observation group in terms of operation time(52.3±4.2)min and hospitalization time(5.2±1.0)d were shorter than the control group,while intraoperative blood loss(40.8±6.5)ml was less than that of the control group,the differences were statistically significant(P<0.05).The knee joint function scores before and after treatment were compared between the groups.Before surgery,the knee joint function scores was no significant difference in two groups(P>0.05);1 year after the operation,the score of the observation group was(94.8±3.8)points,which was significantly higher than that of the control group(P<0.05).Comparison of knee joint stability between the two groups,before surgery,there was no significant difference in Lysholm score between the two groups(P>0.05),one year after surgery,the observation group had a significantly higher Lysholm score(85.4±3.4)points,and the difference was statistically significant(P<0.05).Conclusion:In the treatment of third degree knee medial collateral ligament injury,the application of knee arthroscopy combined with wire anchor repair has a very significant effect and is worthy of promotion.

关 键 词：膝关节镜检 膝内侧副韧带损伤 带线锚钉 

分 类 号：R687.4[医药卫生—骨科学]