关节镜下半月板部分切除及术后康复

Arthroscopic partial meniscectomy and rehabilitation after the surgery

目的研究膝关节镜下半月板部分切除及术后康复治疗半月板损伤的疗效。方法对膝关节单纯半月板损伤的110例病人,进行关节镜下半月板部分切除术,其中康复组56例术后早期进行康复治疗,包括下肢肌力和关节活动度练习,早期负重行走和下蹲练习;对照组术后未行系统康复治疗。术前和术后3个月分别进行膝关节功能的Lysholm评分。结果术前Lysholm评分,康复组为(61.3±5.7)分,对照组为(61.8±5.5)分;术后3个月时,康复组Lysholm评分为(93.6±3.8)分,对照组为(79.8±4.2)分。康复组与对照组比较,术前两组间Lysholm评分差异无显著性,术后3个月两组间Lysholm评分差异有显著性(P<0.01)。结论膝关节镜下半月板部分切除及术后早期康复,可有效恢复病人的膝关节功能。

[Objective] To evaluate the curative effect of arthroscopic partial meniscectomy and rehabilitation after the operation. [Method] Arthroscopic partial meniscectomy was performed on 56 patients who suffer from meniscus injury of the knee joint, and combined with rehabilitation after the surgery. The patients were instructed for rehabilitation from the first day after the surgery. The rehabilitation program included exercises of strength of the lower limbs, range of motion, weight loading as early as possible, squatting. Arthroscopic partial meniscectomy also was performed on 54 patients of control group. The patients of control group were not carried out systematic rehabilitation. All the patients of two groups were scored according to Lysholm score scale before and after 3 months of the operation. [Result] Before the surgery, the knee score of the rehabilitation group was （61.3±5.7）, and the control group was （61.8±5.5）. The knee score of the two group was （93.6±3.8） and （79.8±4.2） respectively when 3 months after surgery. There is no significant difference in Lysholm scale between the two groups＇ preoperation, but the difference is obvious postoperation （P 〈0.01）. [Conclusion] Arthroscopic partial meniscectomy combined with rehabilitation after the surgery can effectively restore the function of the injuried knee.