膝关节创伤患者微创处理62例的临床分析

Clinical analysis of minimally invasive treatment in 62 patients with knee trauma

目的探究分析膝关节创伤患者微创处理的临床疗效。方法选取我院2008年6月～2013年6月收治的膝关节创伤患者62例，作为临床研究对象。将所有患者进行随机分组，每组各89例，对照组患者采用常规开放手术治疗，试验组患者采用关节镜微创技术治疗。对患者术后进行随访，记录并比较两组患者Near评分情况和临床效果，并调查两组患者治疗后的并发症发生情况。结果试验组患者术后Neer评分情况明显优于对照组，其显效率及总有效率（58．06％、90．32％）均明显高于对照组患者（22．58％、29．03％），且试验组患者术后出现如脱位、头坏死、关节感染、异位骨化等并发症的总发生率小于对照组32．26％，差异有统计学意义（P〈0．05）。结论关节镜微创技术治疗膝关节创伤优势明显，创伤小，并发症少，Near评分情况良好，有一定的临床优势，值得推广使用。

Objective To explore and analyze the clinical efficacy of minimally invasive treatment in patients with knee trauma. Methods 62 patients with knee injuries treated in our hospital from June 2008 to June 2013 were selected as clinical subjects. All patients were randomly divided into two groups, 89 eases in each group, the control group was treated with conventional open surgery, the experimental group was given arthroseopic minimally invasive treatment. Patients were followed up after surgery, recorded and compared the Neer score and clinical effects of the two groups patients, and investigated the incidence of complications in two groups after treatment. Results The Neer score of experimental group patients was significantly better than the control group, as well as the significant efficiency and total efficiency （58.06%, 90.32%） were significantly higher the control group （22.58%,29.03%） , and the total incidence of complications such as dislocation, head necrosis, joint infection and eetopie ossification of experimental group after treatment were 32.26% less than the control group, P 〈 0.05, with statistically significant difference. Conclusion Arthroscopie minimally invasive treatment of knee trauma has obvious advantages, with small trauma, fewer complications and good Neer score, having certain clinical advantages, which deserves to be promoted.