关节镜微创技术对膝关节骨创伤患者的临床疗效

Clinical efficacy of arthroscopic minimally invasive technique in patients with knee joint bone trauma

目的：观察关节镜微创技术对膝关节骨创伤患者的临床疗效。方法：我院2016年3月～2017年3月收治的74例膝关节骨创伤患者为本次实验研究对象，按照手术质量方案不同将所有患者均分为观察组与对照组，对照组37例患者给予常规开放手术治疗，观察组37例患者给予关节镜微创手术治疗，观察比较2组患者临床治疗效果。结果：观察组患者手术创口长度、平均手术时间、平均术中出血量、平均住院时间明显少于对照组，观察组患者术前、术后3天视觉疼痛评分（vAS）明显高于对照组，观察组患者术后1个月随访总有效率明显优于对照组（94．6％vs81．0％），2组患者各项数据差异明显，具有统计学意义（P〈0．05）。结论：对于膝关节骨创伤患者给予关节镜微创治疗，可有效缩小手术创口，减少患者术后平均手术时间、平均术中出血量、平均住院时间，促进患者膝关节功能的恢复。

Objectiv： To observe the clinical effect of arthroscopy of knee trauma patients. Methods ： 74 cases of knee trauma patients in our hospital from March 2016 to March 2017 were selected as the study object, according to the different quality of operation scheme in all patients were divided into experimental group and control group, 37 patients in the control group were given conventional open surgery, the experimental group of 37 patients treated with minimally invasive arthroscopic surgery treatment, observation of two groups of patients with clinical curative effect. Results： the experimental group of surgical wound length, average operation time, average blood loss, aver- age hospitalization time was significantly less than the control group. The experimental group of patieats before and after 3 days of visual analogue scale （VAS） was significantly higher than the control group, the patients in the experimental group after 1 months of follow - up, the total effective rate was significantly better than the control group （94.6% VS81.0% ）, the difference between the two groups of data significantly, with statistical significance （ P 〈 0.05 ）. Conclusion： for knee trauma patients were given minimally invasive arthroscopie treatment could effectively reduce surgical wound, reduce postoperative average operation time, average blood loss, average hospitalization time, promote the recovery of patients with knee function.