关节镜下手术治疗膝关节半月板损伤的临床疗效

Clinical effect of knee joint meniscus injury treated with arthroscopic surgery

目的探究膝关节半月板损伤给予关节镜下手术治疗的临床疗效。方法选择2018年3月—2020年4月我院治疗的半月板损伤患者88例,按随机数字表法将其分为两组,各44例。对照组采用开放手术治疗,观察组行关节镜下手术治疗。比较两组临床疗效、膝关节功能、膝关节活动度及并发症。结果观察组治疗优良率(97.73%)高于对照组(79.55%),并发症总发生率(4.55%)低于对照组(18.18%),差异有统计学意义(χ^(2)=7.221、4.062,P=0.007、0.044);术前两组Lysholm评分、膝关节活动度对比,差异无统计学意义(t=0.105、0.018;P=0.916、0.986);术后观察组Lysholm评分(79.68±5.26)分高于对照组(63.79±4.10)分,膝关节活动度(136.34±21.06)°高于对照组(122.79±18.54)°,差异有统计学意义(t=15.805、3.203,P<0.001、0.002)。结论关节镜下手术治疗膝关节半月板损伤在恢复患者膝关节功能及膝关节活动度方面效果更佳,且术后并发症少,临床应用安全可靠。

Objective To explore the clinical effect of arthroscopic surgery for meniscus injury of knee joint.Methods A total of 88 cases of meniscus injury treated in our hospital from March 2018 to April 2020 were selected as research objects,and they were divided into a control group and an observation group by the random number table method,with 44 cases in each group.The control group was treated with open surgery,and the observation group underwent the arthroscopic operation.The clinical efficacy,knee function,knee motion and complications were investigated and compared between the two groups.Results The excellent rate of treatment in the observation group(97.73%)was higher than that in the control group(79.55%),but the total incidence of complications of the observation group(4.55%)was lower than that of the control group(18.18%),and the differences were statistically significant(χ^(2)=7.221,4.062,P=0.007,0.044).Before the operation,there were no significant differences in Lysholm scores and knee motion between the two groups(t=0.105,0.018;P=0.916,0.986),but after the operation,the Lysholm score(79.68±5.26)of the observation group was higher than that of the control group(63.79±4.10),and knee motion(136.34±21.06)of the observation group was also higher than that of the control group(122.79±18.54),and the differences were statistically significant(t=15.805,3.203,P<0.001,0.002).Conclusion The arthroscopic treatment for knee joint meniscus injury is more effective in restoring knee joint function and knee motion,and it has less postoperative complications,and so its clinical application is safe and reliable.