创伤性膝关节滑膜炎应用膝关节镜的临床疗效观察

Observation on the clinical efficacy of knee arthroscope in traumatic synovitis of knee joint

目的观察创伤性膝关节滑膜炎应用膝关节镜的临床疗效。方法将2018年1~12月我院膝关节滑膜炎120例患者采用随机数字法分为对照组与实验组,每组60例。其中对照组患者采取常规治疗,而实验组则实施膝关节镜下手术治疗,并对患者进行有效期为6个月的随访。比较两组患者治疗前、随访时的膝关节功能、疼痛评分,临床治疗效果与并发症发生情况;并比较两组患者治疗前后的步频、步速、步态周期等步态时间距离参数的变化情况。结果随访时两组患者Lysholm评分明显升高,而VAS评分均明显减少,其中实验组患者Lysholm评分明显高于对照组,而VAS评分明显低于对照组(P<0.05)。实验组患者临床治疗总有效率为95.00%,明显高于对照组的73.33%,而实验组患者并发症发生率为3.33%,明显少于对照组的15.00%(P<0.05);治疗后实验组患者的步频、步速、步态周期等步态时间距离参数变化均显著好于对照组(P<0.05)。结论在创伤性膝关节滑膜炎治疗中,采取膝关节镜治疗,可明显改善患者治疗后的膝关节功能评分,较为安全的提升患者的临床治疗总有效率。

Objective To observe the clinical efficacy of knee arthroscope in traumatic synovitis of knee joint.Methods 120 patients with synovitis of knee joint in our hospital from January to December 2018 were divided into the control group and the experimental group by using the random number method,with 60 patients in each group.Among which,patients in the control group received conventional therapy,while those in the experimental group received surgical therapy under knee arthroscope,followed-up visit was further carried out on the patients for six months.Knee joint function,pain score,clinical therapeutic effect,and occurrence of complications before treatment and during follow-up visit were compared between the two groups;and the changes in gait time and distance parameters such as gait frequency,gait speed,and gait cycle before and after treatment were compared between the two groups.Results During follow-up visit,Lysholm score increased significantly,while VAS score decreased significantly in the two groups of patients,wherein Lysholm score of patients in the experimental group was significantly higher than that in the control group,while VAS score was significantly lower than that in the control group(P<0.05).The overall response rate of clinical treatment in the experimental group was 95.00%,which was significantly higher than that in the control group(73.33%),while the incidence of complications in the control group was 3.33%,which was significantly lower than that in the control group(15.00%)(P<0.05);after treatment,the changes in gait time and distance parameters such as gait frequency,gait speed,and gait cycle in the experimental group were significantly better than those in the control group(P<0.05).Conclusion In the treatment of traumatic synovitis of knee joint,knee arthroscopy can significantly improve the knee joint function score of patients after treatment,and improve the overall response rate of clinical treatment of patients in a relatively safe manner.