探讨关节镜治疗膝关节盘状半月板损伤的临床疗效及术后疼痛的影响因素

Arthroscopic Treatment of Discoid Meniscus Injury and Influencing Factors of Postoperative Pain

目的探讨关节镜治疗膝关节盘状半月板损伤的临床疗效及术后疼痛的影响因素。方法选取我院2017年3月至2018年3月收治的120例膝关节盘状半月板损伤的患者作为研究对象,所有患者均采取膝关节镜进行镜下手术治疗,根据手术方式分为A、B两组各60例,A组患者接受关节镜下半月板成形术,B组患者接受半月板次全切术,比较两组患者治疗后疗效,并根据所有患者术后疼痛情况分为疼痛组和无痛组,分析术后疼痛的影响因素。结果两组患者术后疗效差异无统计学意义(P>0.05)。影响术后是否出现疼痛症状的因素包括年龄、负重时间、是否具有关节软骨损伤和冷敷率。无痛组患者的术后Lyscholm膝关节评分高于疼痛组,且差异具有统计学意义(P<0.05)。结论关节镜治疗膝关节盘状半月板损伤具有显著疗效,患者年龄、负重时间、关节软骨损伤情况和是否冷敷是影响术后疼痛的主要因素。

Objective To explore the effect of arthroscopy in the treatment of knee joint discoid meniscus injury and the risk factors of postoperative pain. Methods A total of 120 patients with knee joint discoid meniscus injury who were given the treatment in our hospital from March 2017 to March 2018 were collected and enrolled in this study. The patients were divided into the group A（arthroscopic meniscus angioplasty, n =60） and the group B（subtotal resection of meniscus, n =60） according to different surgical procedures. The surgical effect was analyzed between two group. According to the postoperative conditions, the patients were divided into the painless group and pain group. The risk factors of postoperative pain were analyzed, and surgical effect was analyzed according to the average Lyscholm knee function score. Results There were no significant differences in the curative effect（P〉0.05）. The postoperative risk factors of pain included age, articular cartilage injury and cold compress. Lyscholm score after the surgery was significantly higher in the painless group than in the pain group（P〈0.05）. Conclusion Arthroscopic treatment of discoid meniscus injury is effective. And age, cartilage injury and cold compress are the risk factors of postoperative pain.