膝关节镜下手术治疗半月板损伤的临床效果

Clinical observation of arthroscopy surgery on patients with meniscus injury

目的探讨膝关节镜下手术治疗半月板损伤的临床效果。方法选取86例膝关节半月板损伤患者为研究对象，应用随机数字表分为两组，每组43例。对照组采用传统的半开放性半月板切除术治疗，观察组采用膝关节镜下手术治疗。比较两组患者的手术时间、术后功能活动时间、住院时间、并发症和临床效果。结果观察组手术时间（56．8±9．8）min，术后功能锻炼时间（24．6±6．8）d，住院时间（6．6±2．5）d，明显低于对照组[（84．6±16．5）min、（39．2±9．4）d、（9．9±3．2）d]，差异均有统计学意义（t值分别为5．428、4．763和4．784，P均〈0．05）；观察组并发症发生率为4．7％（2／43），明显低于对照组的20．9％（9／43），优良率为93．O％（40／43），明显高于对照组的74．4％（32／43），差异均有统计学意义（x2值分别为5．473、5．460，P均〈0．05）。结论膝关节镜辅助下手术治疗半月板损伤可以最大限度地保留半月板并恢复膝关节的功能，而且具有微创的优点，值得在临床中推广应用。

Objective To explore the clinical effect of arthroscopy surgery on patients with meniscus injury. Methods Eighty-six patients with meniscus injury were randomly and voluntarily divided into the control group（ n =43 ） and observation group（ n =43 ）. The patients in the control group were given traditional half open meniscectomy, while in the observation group were given arthroscopy surgery. The operation time, time of postoperative functional activity, time of hospitalization, complications and clinical effect between the two groups were recorded and compared. Results The operation time, time of postoperative functional activity, time of hospitalization in observation group were （56. 8 ±9. 8） min, （24. 6 ±6. 8） d, （6. 6 ±2. 5） d and 4. 7% ,lower than that in control group （ （ 84. 6 ± 16. 5 ） min, （ 39. 2 ±9.4 ） d, （ 9. 9± 3.2 ） d）, and the differences were statistically significant（t = 5.428,4. 763,4. 784; P 〈 0.05 ）. The complications rates in observation group was 4. 7% （2/43）, significantly lower than that of control group （20. 9% （9/43） , x2 = 5.473, P 〈 0. 05 ）. The efficient of the observation group was 93.0% （ 40/73 ）, obviously higher than that of control group （ 74.4% （32/43）, X2 = 5.460 ,P = 0. 019）. Conclusion Thd arthroscopic assisted surgery treatment of meniscus injury can maximum limit retains the meniscus and restore the function of the knee joint. It is minimally invasive and worth popularizing in clinical application.