关节镜微创技术治疗髌骨横行骨折患者的临床效果观察  

Clinical Effect Observation of Arthroscopic Minimally Invasive Technique in the Treatment of Transverse Patellar Fractures

作　　者：梁魁 毕方刚[2] LIANG Kui;BI Fangang(Department of Orthopedics,Zhengzhou University Hospital,Zhengzhou Henan 450001,China;Department of Orthopedics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学医院骨科,河南郑州450001 [2]郑州大学第一附属医院骨科,河南郑州450000

出　　处：《临床研究》2024年第7期18-21,共4页Clinical Research

摘　　要：目的探究对髌骨横行骨折患者使用关节镜微创技术治疗的临床效果观察。方法选取郑州大学医院骨科2021年8月至2023年2月收入68例髌骨横行骨折患者,按随机数字表法分为对照组和研究组。对照组34例患者使用临床常规方法治疗,研究组34例患者使用关节镜微创技术治疗,将两组患者临床治疗效果、膝关节评分、疼痛评分、下床时间及住院时间进行对比。结果研究组患者治疗有效率高于对照组患者,差异具有统计学意义(P<0.05)。治疗前,两组患者膝关节评分差异无统计学意义(P>0.05),治疗后,研究组患者膝关节评分高于对照组患者,差异具有统计学意义(P<0.05)。研究组患者术后1 d、术后3 d、术后5 d疼痛评分均低于对照组患者,差异均有统计学意义(P<0.05)。研究组患者下床时间与住院时间均短于对照组患者,差异均有统计学意义(P<0.05)。结论对髌骨横行骨折患者使用关节镜微创技术治疗可以有效的改善患者膝关节功能,降低患者疼痛情况,缩短住院时间与下床时间,值得临床应用。Objective To explore the clinical effect of arthroscopic minimally invasive technique in the treatment of patients with transverse patellar fractures.Methods A total of 68 patients with transverse patellar fractures admitted to the Department of Orthopedics,Zhengzhou University Hospital from August 2021 to February 2023 were selected.They were divided into the control group and the research group according to the random number table method.The control group(34 patients)was treated with conventional clinical methods,and the research group(34 patients)was treated with arthroscopic minimally invasive technique.The clinical treatment effects,knee joint scores,pain scores,time to get out of bed,and hospital stay of the two groups were compared.Results The effective rate of treatment in the research group was higher than that in the control group,with a statistically significant difference(P<0.05).Before treatment,there was no statistically significant difference in the knee joint scores between the two groups(P>0.05).After treatment,the knee joint score of the research group was higher than that of the control group,with a statistically significant difference(P<0.05).The pain scores of the research group on the 1st day,3rd day,and 5th day after surgery were all lower than those of the control group,with statistically significant differences(P<0.05).The time to get out of bed and the hospital stay of the research group were both shorter than those of the control group,with statistically significant differences(P<0.05).Conclusion The use of arthroscopic minimally invasive technique in the treatment of patients with transverse patellar fractures can effectively improve the function of the patient’s knee joint,reduce the patient’s pain,shorten the hospital stay and the time to get out of bed,and is worth applying in clinical practice.

关 键 词：关节镜微创技术 髌骨横行骨折 骨科 

分 类 号：R274.1[医药卫生—中医骨伤科学]