关节镜下一期修复重建膝关节多发韧带损伤的临床疗效分析  

Clinical efficacy of arthroscopic one-stage repair and reconstruction of multiple ligament injury of knee joint

作　　者：王滨[1] WANG Bin(Ganyu District People's Hospital,Lianyungang 222100,China)

机构地区：[1]连云港市赣榆区人民医院,222100

出　　处：《中国实用医药》2022年第27期75-77,共3页China Practical Medicine

摘　　要：目的 探讨关节镜下一期修复重建膝关节多发韧带损伤的临床疗效。方法 35例膝关节多发韧带损伤患者作为研究对象,均于关节镜下行韧带修复重建术治疗。比较患者治疗前后Lysholm膝关节功能评分、生活质量调查表(SF-36)评分、膝关节主观评价量表(IKDC)评分。结果 治疗后,患者绞索、稳定、疼痛、支撑、肿胀、爬楼梯、下蹲、跛行评分分别为(14.0±1.6)、(24.3±0.9)、(23.5±3.4)、(4.6±0.9)、(9.4±0.4)、(9.6±0.4)、(4.2±0.3)、(4.1±0.2)分,均明显优于治疗前的(9.5±1.3)、(19.9±1.5)、(20.1±0.8)、(2.5±0.5)、(7.8±0.6)、(8.6±2.4)、(3.5±1.2)、(2.5±1.1)分,差异均具有统计学意义(P<0.05)。治疗后,患者SF-36、IKDC评分分别为(90.2±4.2)、(91.9±5.1)分,均明显优于治疗前的(78.2±6.9)、(71.1±4.5)分,差异均具有统计学意义(P<0.05)。结论 膝关节多发韧带损伤患者采取关节镜下一期修复重建术治疗的效果显著,可促进患者恢复,提高患者的膝关节功能,有利于提高患者的生活质量。Objective To discuss the clinical efficacy of arthroscopic one-stage repair and reconstruction of multiple ligament injury of knee joint. Methods 35 patients with multiple ligament injuries of the knee were studied and were treated with arthroscopic ligament repair and reconstruction. The Lysholm knee function score and 36-item short-form health survey(SF-36) scores and International Knee Documentation Committee(IKDC)scores of patients before and after treatment were compared. Results After treatment, the patient’s interlocking,instability, pain, support, swelling, stair climbing, squatting, and limping scores were(14.0±1.6),(24.3±0.9),(23.5±3.4),(4.6±0.9),(9.4±0.4),(9.6±0.4),(4.2±0.3), and(4.1±0.2) points, which were significantly better than(9.5±1.3),(19.9±1.5),(20.1±0.8),(2.5±0.5),(7.8±0.6),(8.6±2.4),(3.5±1.2), and(2.5±1.1) points before treatment, all with statistically significant differences(P<0.05). After treatment, the patients’ SF-36score and IKDC score were(90.2±4.2) and(91.9±5.1) points, which were significantly better than(78.2±6.9)and(71.1±4.5) points before treatment, all with statistically significant differences(P<0.05). Conclusion Arthroscopic one-stage repair and reconstruction has significant effect on patients with multiple ligament injury of knee joint, and can promote the recovery of patients, improve their function of knee joint, and improve the quality of life of patients.

关 键 词：多发性韧带损伤 膝关节 一期修复重建 关节镜 临床疗效 

分 类 号：R687.4[医药卫生—骨科学]