关节镜微创手术治疗膝关节骨性关节炎的疗效

Effect of Minimally Invasive Arthroscopic Surgery on Knee Osteoarthritis

目的:探讨关节镜微创手术治疗膝关节骨性关节炎的临床效果。方法:选择郑州市第七人民医院2018年1月至2019年6月收治的膝关节骨性关节炎患者60例为研究对象,随机数字表法将患者分成对照组和观察组,每组30例。对照组用传统术式治疗,观察组用关节镜微创手术治疗,比较两组患者的手术时间、术中出血量和术后视觉模拟评分法(VAS)评分、术后首次下床时间以及膝关节Lysholm评分。结果:观察组患者的手术时间短于对照组,术中出血量少于对照组,术后VAS评分低于对照组,术后首次下床时间短于对照组,差异具有统计学意义(P<0.05)。治疗后两组患者的膝关节Lysholm评分均高于治疗前,且观察组患者的膝关节Lysholm评分高于对照组,差异具有统计学意义(P<0.05)。结论:膝关节骨性关节炎的患者采用关节镜微创手术治疗的疗效明显,手术时间短,术中出血量少,且术后疼痛程度轻,能在短时间内下床活动,可以充分改善患者的膝关节功能。

Objective To investigate the clinical effect of minimally invasive arthroscopic surgery on knee osteoarthritis.Methods A total of 60 patients with knee osteoarthritis admitted to The Seventh People’s Hospital of Zhengzhou from January 2018 to June 2019 were selected as the study subjects.The patients were divided into control group and observation group by random number table method,with 30 patients in each group.The control group was treated with traditional surgical methods,and the observation group was treated with arthroscopic minimally invasive surgery.The operative time,intraoperative blood loss,postoperative visual analogue scale(VAS)score,postoperative time to get out of bed for the first time,and knee Lysholm score were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,the amount of intraoperative blood loss was less than that of the control group,the postoperative VAS score was lower than that of the control group,and the time to get out of bed for the first time after surgery was shorter than that of the control group,with statistically significant differences(P<0.05).After treatment,knee Lysholm score of 2 groups was higher than before,and knee Lysholm score of observation group was higher than control group,the difference was statistically significant(P<0.05).Conclusion Arthroscopic minimally invasive surgery for patients with knee osteoarthritis has obvious efficacy,short operation time,less intraoperative blood loss,and light postoperative pain,and can get out of bed in a short time to move,which can fully improve the knee function of patients.