关节镜微创手术治疗膝关节半月板损伤50例临床分析

Clinical Analysis of 50 Cases of Knee Joint Meniscus Injury Treated by Arthroscopic Minimally Invasive Operation

目的:探究分析采用关节镜微创手术治疗膝关节半月板损伤的临床效果。方法:选取2013年1月-2016年1月在笔者所在医院骨科接受治疗的100例膝关节半月板损伤患者,依据不同入院时间分为观察组和对照组,每组50例。观察组患者采用关节镜微创手术治疗,对照组患者采用保守治疗,比较两组患者的治疗有效率、膝关节功能评分及并发症情况。结果:两组患者在治疗前的膝关节功能评分及屈膝评分比较差异无统计学意义(P>0.05);观察组患者治疗后的膝关节功能评分及屈膝评分均优于对照组,差异有统计学意义(P<0.05);观察组患者的治疗总有效率(96.0%)显著优于对照组患者的治疗总有效率(64.0%),差异有统计学意义(P<0.05);观察组患者的并发症发生率(6.0%)低于对照组患者的并发症发生率(20.0%),差异有统计学意义(P<0.05)。结论:关节镜微创手术治疗膝关节半月板损伤的临床效果显著,而且有效改善患者的膝关节功能评分,并发症发生率低,值得临床推广和应用。

Objective： To investigate the clinical effect of minimally invasive arthroscopic surgery in the treatment of knee meniscus injury.Method： From January 2013 to January 2016, 100 cases of knee meniscus injury were treated in our hospital.Accordlng to the different admission time, the patients were divided into observation group and control group.The patients in the observation group were treated with arthroscopic minimally invasive surgery.The patients in the control group were treated with conservative treatment.The therapeutic efficiency, knee function score and complications were compared between the two groups.Result： There was no significant difference in knee function score and knee score before treatment between the two groups（P〉0.05）.The score of knee joint function and knees scores after treatment in the observation group were better than those in the control group（P〈0.05）.The total effective rate was 96.0% in the observation group, higher than that in the control group（P〈0.05）.The rate of complications was lower in the observation group（6.0%） than that in the control group（20.0%）（P〈0.05）.Conclusion： Effect arthroscopic minimally invasive surgery in the treatment of knee meniscus injury is significant, and effectively improve the patient＇s knee function score, the incidence of complications is low, worthy of clinical application and promotion.