关节镜下囊肿减压半月板修补治疗半月板囊肿的疗效分析

Efficacy analysis of arthroscopic cyst decompression meniscus repair for meniscal cysts

目的 研究关节镜下囊肿减压半月板修补治疗半月板囊肿的临床价值。方法 选择2021年8月至2023年1月在景德镇市中医医院骨伤一科住院的半月板囊肿患者30例作为研究对象,均采用关节镜下囊肿减压半月板修补手术进行治疗。观察所有患者的治疗效果。结果 通过格拉斯哥预后评分评价所有患者的手术结果显示,优9例,良18例,一般2例,差3例,优良率为90.00%。手术后,患者的Lysholm、IKDC、GQOLI-74、Tegner评分及关节活动度、膝关节屈、伸肌PT值均高于手术前,但VAS评分、NE、5-HT、SP水平及负重力量差、轨迹误差低于手术前,差异均有统计学意义(P<0.05)。结论 关节镜下囊肿减压半月板修补治疗半月板囊肿的效果理想,可快速降低疼痛,改善患者关节活动度及膝关节功能,提升生活质量。

Objective To study the clinical value of arthroscopic cyst decompression in meniscal repair.Methods A total of 30 meniscus cyst patients hospitalized in the first Department of Orthopedics of Jingdezhen Hospital of Traditional Chinese Medicine from August 2021 to January 2023 were selected,all of which were treated with arthroscopic cyst decompression and meniscus repair surgery.The treatment results of all patients were observed.Results The treatment outcomes of all patients were evaluated by the Glasgow prognostic score,in which 9 cases were excellent,18 cases were good,2 cases were fair,and 3 cases were poor,with an excellent rate of 90.00%.After treatment,patients′Lysholm,IKDC,GQOLI-74,Tegner scores and joint mobility,knee flexor and extensor PT values were higher than those before surgery,but VAS score,levels of NE,5-HT,and SP,and weight-bearing strength difference and trajectory error were lower than those before surgery,and the differences were statistically significant(P<0.05).Conclusion Arthroscopic cyst decompression meniscus repair is more effective and can quickly reduce pain,improve joint mobility and knee function,and enhance quality of life for patients.