摘要
目的探讨关节镜治疗膝关节骨创伤的临床疗效。方法选取2017年1月至2019年1月湖北医药学院附属太和医院收治的膝关节骨创伤患者106例,采用随机数字表法分为观察组和对照组,每组53例。对照组采用传统手术治疗,观察组采用关节镜微创手术治疗。所有患者均随访6个月,比较两组的临床治疗效果、手术相关指标、术前1d和术后7d的疼痛视觉模拟量表(visual analogue scale,VAS)评分及膝关节功能Lysholm评分情况,以及术后并发症发生情况。结果观察组治疗总有效率(88.68%)明显高于对照组(71.70%),差异有显著性(P<0.05)。观察组患者术中出血量少于对照组,手术切口小于对照组,手术时间、下地时间、住院时间短于对照组,差异均有显著性(P<0.05)。与术前1d比较,术后7d两组患者VAS评分明显降低,Lysholm评分明显升高,且观察组VAS评分明显低于对照组,Lysholm评分明显高于对照组,差异均有显著性(P<0.05)。观察组术后并发症发生率(9.43%)明显低于对照组(26.42%),差异有显著性(P<0.05)。结论关节镜治疗膝关节骨创伤临床疗效显著,能有效缓解疼痛,改善膝关节功能,并能减少术后并发症的发生,安全性好,具有较高的临床应用价值。
Objective To explore the clinical effect of arthroscopy on knee trauma.Method A total of 106 patients with knee joint trauma admitted to Taihe Hospital affiliated to Hubei Medical College from January 2017 to January 2019 were selected and divided into observation group and control group by random number table method,53 cases in each group.The control group was treated with traditional surgery,and the observation group was treated with arthroscopic minimally invasive surgery.All patients were followed up for 6 months to compare the clinical treatment effect,surgical related indicators,visual analogue scale(VAS)score of 1 day before operation and 7 days after operation and Lysholm score of knee function in both groups,and Postoperative complications.Result The total effective rate of treatment in the observation group(88.68%)was significantly higher than that in the control group(71.70%),and the difference was significant(P<0.05).In the observation group,the intraoperative blood loss was less than the control group,and the surgical incision was less than the control group.The operation time,the time to go to the ground,and the hospitalization time were shorter than the control group,and the differences were significant(P<0.05).Compared with 1d before surgery,7 days after surgery,the VAS scores of the two groups were significantly reduced,and the Lysholm score was significantly increased.The VAS score of the observation group was significantly lower than the control group,and the Lysholm score was significantly higher than the control group.The differences were significant(P<0.05).The incidence of postoperative complications in the observation group(9.43%)was significantly lower than that in the control group(26.42%),the difference was significant(P<0.05).Conclusion Arthroscopy is effective in treating knee trauma.It can effectively relieve pain,improve knee function,and reduce postoperative complications.It has good safety and high clinical application value.
作者
程海廷
梁波
李强
Cheng Haiting;Liang Bo;Li Qiang(Department of Orthopedic Trauma,Affiliated Taihe Hospital of Hubei University of Medicine,Hubei Shiyan 442714,China)
出处
《中国医刊》
CAS
2020年第6期618-621,共4页
Chinese Journal of Medicine
关键词
关节镜治疗
膝关节骨创伤
临床疗效
Arthroscopic treatment
Knee joint bone trauma
Clinical efficacy
