关节镜下治疗膝关节盘状半月板损伤的临床疗效  

Clinical Efficacy of Arthroscopic Treatment for Discoid Meniscus Injury of the Knee Joint

作　　者：洪志群 李远东 谢志敏 郭金魁 HONG Zhiqun;LI Yuandong;XIE Zhimin;GUO Jinkui(Department of Orthopedics,Putian 95 Hospital,Putian Fujian 351100,China)

机构地区：[1]莆田九十五医院骨科,福建莆田351100

出　　处：《中国卫生标准管理》2023年第19期95-98,共4页China Health Standard Management

摘　　要：目的观察关节镜下治疗膝关节盘状半月板损伤的临床疗效。方法选取莆田九十五医院2018年5月—2023年5月收治的膝关节盘状半月板损伤患者60例,采用随机数字表法分为研究组与对照组,各30例。对照组采用关节镜下半月板切除术治疗,研究组采用关节镜下半月板成形缝合术治疗。比较两组患者治疗前、后的下肢肌力、膝关节功能评分、膝关节活动度、疼痛感及生活质量评分,统计围手术期相关指标,判定治疗后膝关节恢复情况。结果两组治疗后下肢肌力、膝关节功能评分、膝关节活动度及生活质量评分较治疗前提升,研究组高于对照组,治疗后疼痛感较治疗前下降,研究组低于对照组,差异均有统计学意义(P<0.05)。两组围手术期相关指标比较,差异无统计学意义(P>0.05)。研究组膝关节功能恢复优良率(96.67%)显著高于对照组(73.33%),差异有统计学意义(P<0.05)。两组患者的术后并发症发生率比较,差异无统计学意义(P>0.05)。结论膝关节盘状半月板损伤在手术的过程中以关节镜下半月板成形缝合术治疗,对患者的下肢肌力、膝关节功能、膝关节活动度产生较大地改善,可减轻膝关节的疼痛感,改善生活质量理想,有助于膝关节更好地恢复。Objective To observe the clinical efficacy of arthroscopic treatment for discoid meniscus injury of the knee joint.Methods A total of 60 patients with discoid meniscus injury of knee joint admitted to Putian 95 Hospital from May 2018 to May 2023 were randomLy divided into study group and control group,with 30 cases in each group.The control group was treated with arthroscopic meniscectomy,while the study group was treated with arthroscopic meniscectomy.The lower limb muscle strength,knee joint function score,knee joint range of motion,pain and quality of life scores of the two groups were compared before and after treatment,and the perioperative related indexes were counted to determine the recovery of knee joint after treatment.Results After treatment,the lower limb muscle strength,knee joint function score,knee joint range of motion,and quality of life score of two groups improved compared to before treatment.The study group was higher than the control group,and the pain sensation decreased after treatment.The study group was lower than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in perioperative related indicators(P>0.05).The excellent and good rate of knee joint function recovery in the treated study group was 96.67%,significantly higher than that in the control group 73.33%,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups of patients(P>0.05).Conclusion Dislike meniscus injury of knee joint is treated by arthroscopic meniscus plasty,which can greatly improve the muscle strength of lower limbs,knee joint function and knee joint mobility,relieve the pain of knee joint,improve the ideal quality of life and help the knee joint recover better.

关 键 词：关节镜下 膝关节 盘状半月板损伤 治疗疗效 膝关节功能 膝关节活动度 

分 类 号：R684[医药卫生—骨科学]