关节镜下微骨折术治疗膝关节软骨损伤的临床疗效分析  

Clinical Efficacy Analysis of Arthroscopic Microfracture Surgery in the Treatment of Knee Cartilage Injury

作　　者：苏晓恩[1] 林宇宁[2] 邓海棠[2] 冯文杰[2] 邹凯 邵庆丰 SU Xiao-en;LIN Yu-ning;DENG Hai-tang(Zhaoqing first People's hospital Zhaoqing,Guangdong 526000)

机构地区：[1]肇庆市第一人民医院关节运动医学科,广东肇庆526000 [2]肇庆市第一人民医院,广东肇庆526000

出　　处：《中国伤残医学》2022年第22期14-17,100,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：分析关节镜下微骨折术治疗膝关节软骨损伤的应用效果。方法:选取本院2019年1月-2021年1月收治的76例膝关节软骨损伤患者开展本次研究,随机将其均分为对照组38例和观察组38例,分别给予关节清理术治疗和关节镜下微骨折术治疗,比较2组临床疗效。结果:治疗前2组的膝关节运动能力(Tegner)评分和膝关节功能(Lysholm)评分均基本一致(P>0.05),治疗后观察组的Tegner评分和膝关节功能评分均明显高于对照组(P<0.05);治疗前2组的疼痛(VAS)评分基本一致(P>0.05),治疗3个月后和6个月观察组的VAS评分均明显低于对照组(P<0.05);2组的膝关节(HSS)评分60-85分占比基本一致(P>0.05),观察组>85分占比明显高于对照组(P<0.05),<60分占比明显低于对照组(P<0.05);与对照组治疗有效率相比,观察组明显偏高(P<0.05);与对照组并发症发生率相比,观察组明显偏低(P<0.05)。结论:给予膝关节软骨损伤患者关节镜下微骨折术治疗,能够有效促进患者膝关节功能恢复,该治疗方式不会给患者带来严重创伤,手术操作具有简单性,患者容易恢复,临床疗效显著且安全性高,具有推广价值。Objective:To analyze the efficacy of arthroscopic microfracture surgery in the treatment of knee carti-lage injury.Methods:76 patients with knee cartilage injury in our hospital were selected for this study from January 2019 to January 2021.They were randomly divided into the control group(n=38)and the observation group(n=38),who were respectively treated with arthroscopic debridment and arthroscopic microfracture surgery,and the clin-ical efficacy of the two groups was compared.Results:Before treatment,Tegner score and Lysholm score were basi-cally the same in the two groups(P>00.05).After treatment,Tegner score and Lysholm score in the observation group were significantly higher than those in the control group(P<O0.05).Before treatment,the VAS scores of the two groups were basically the same(P>0.05).After 3 months and 6 months of treatment,the VAS scores of the observation group were significantly lower than those of the control group(P<O.05).The ratio of knee joint(HSS)score 60-85 in both groups was basically the same(P>0.05).The ratio of>85 in the observation group was significantly higher than that in the control group(P<0.05),and the ratio of<60 was significantly lower than that in the control group(P<O.05).Compared with the control group,the effective rate of the observation group was significantly higher(P<O.05);Compared with the control group,the incidence of complications in the obser-vation group was significantly lower(P<0.05).Conclusion:Arthroscopic microfracture treatment for patients with cartilage injury of knee joint can effectively promote the functional recovery of the patients,with significant clinical ef-ficacy and high safety,and has the value of promotion.

关 键 词：关节镜 微骨折术 膝关节软骨损伤 临床疗效 膝关节功能 

分 类 号：R684[医药卫生—骨科学]