肌骨超声引导下针刀治疗退行性半月板病变的疗效观察

Observation of curative effects of musculoskeletal ultrasound-guided needle-knife on the degenerative meniscus disease

目的 :观察应用肌骨超声引导针刀治疗退行性半月板病变的疗效,为本病的治疗提供一种新方法。方法 :回顾2015年1月至2015年9月北京中医药大学第三附属医院门诊患者,采用肌骨超声引导下针刀治疗退行性半月板病变77例,其中男30例,女47例;年龄44~66岁,平均57.5岁。治疗后2周和1个月门诊随访,对患者治疗前后膝关节Lysholm、VAS评分及半月板膨出距离进行分析比较,总结疗效。结果:治疗前、术后2周及1个月的Lysholm评分分别为51.63±15.26,77.13±11.82,87.56±8.65;治疗前、术后2周和1个月的VAS评分分别为7.080±1.574,2.630±0.310,0.850±0.177,均较术前改善(P=0.00)。治疗前、术后2周和1个月半月板膨出距离分别为(0.400±0.156)mm,(0.298±0.140)mm,(0.240±0.110)mm,治疗后较治疗前明显好转(P=0.00)。结论 :肌骨超声引导下针刀治疗定位准确,对退行性半月板病变疗效显著。肌骨超声引导下针刀治疗操作安全,无并发症,可明显改善患者生活质量。

Objective：To observe the curative effect of musculoskeletal ultrasound-guided needle-knife on the degenerative meniscus disease,and to provide a new method in the treatment of degenerative meniscus disease.Methods：Seventy-seven patients with degenerative meniscus disease treated in the Third Affiliated Hospital of Beijing University of Chinese Medicine from January 2015 to September 2015 were selected,including 30 males and 47 females,aged from 44 to 66 years old,with an average of 57.5 years old.VAS scores,Lysholm scores and distance of meniscal protrusion were analyzed and compared before treatment,2 weeks and 1 month after treatment.The curative effect was summarized at last.Results：The mean Lysholm scores were 51.63±15.26（before treatment）,77.13 ±11.82（2 weeks after treatment） and 87.56±8.65（1 month after treatment）.The mean VAS scores were 7.080±1.574（before treatment）,2.630±0.310（2 weeks after treatment） and 0.850±0.177（1 month after treatment）.The mean of the distance of meniscal protrusion scores were 0.400±0.156（before treatment）,0.298±0.140（2 weeks after treatment） and 0.240±0.110（1 month after treatment）.VAS scores and Lysholm scores were improved significantly compared with preoperative results.The distance of meniscal protrusion showed an obvious improvement after treatment.Conclusion：The treatment of musculoskeletal ultrasound-guided needle-knife has advantages of high accuracy position and excellent effectiveness for degenerative meniscus disease.The treatment provides safety operation and significantly improves quality of life in patients without any complications.