关节镜微创手术用于膝关节创伤治疗的临床分析

Clinical analysis of arthroscopic minimally invasive surgery for knee joint trauma

目的研究关节镜微创手术用于膝关节创伤治疗的临床疗效。方法 64例膝关节创伤患者,随机分为研究组和对照组,各32例。研究组患者采用关节镜微创手术治疗,对照组患者采用单纯开放手术治疗,比较两组患者的治疗效果和术后并发症发生情况,采用美国特种外科医院(HSS)评分和膝关节功能评分(Lysholm评分)对两组患者治疗后的膝关节功能进行评定。结果研究组患者的治疗总有效率96.9%明显高于对照组的81.3%,差异有统计学意义(P<0.05)。研究组患者的膝关节功能优良率和Lysholm评分均明显高于对照组,差异有统计学意义(P<0.05)。研究组患者的术后并发症发生率为12.5%,明显低于对照组的37.5%,差异有统计学意义(P<0.05)。结论膝关节创伤患者采用关节镜微创手术方法进行治疗,术后并发症几率低,治疗有效率高,在有效治疗患者膝关节创伤的同时不影响关节周围肌肉结构,值得临床推广。

Objective To research clinical efficacy of arthroscopic minimally invasive surgery for knee joint trauma. Methods A total of 64 patients with knee joint trauma were randomly divided into research group and control group, 32 cases in each group. Patients in the research group were treated with arthroscopic minimally invasive surgery, patients in the control group were treated with simple open surgery. The therapeutic effect and postoperative complications of the two groups were compared. The knee joint function of the two groups were evaluated by the American hospital for special surgery （HSS） score and knee function score （Lysholm score）. Results The total effective rate of treatment in the research group was 96.9%, which was significantly higher than 81.3% in the control group, the difference was statistically significant （P〈0.05）. The excellent and good rate of knee joint function and Lysholm score in the research group were significantly higher than those in the control group, the differences were statistically significant （P〈0.05）. The incidence of postoperative complications in the research group was 12.5%, which was significantly lower than 37.5% in the control group, the difference was statistically significant （P〈0.05）. Conclusion The application of arthroscopic minimally invasive surgery for knee joint trauma has low postoperative complications and high therapeutic efficiency. It can effectively treat knee joint trauma without affecting the muscular structure around the joint. It is worthy of clinical promotion.