关节镜修复术联合自体富血小板血浆注射治疗盘状半月板伴撕裂的临床疗效

Clinical effect of arthroscopic repair combined with plate rich plasm injection in the treatment of dis-coid meniscus tear

目的 研究关节镜下盘状半月板修复术联合自体富血小板血浆(plate rich plasm, PRP)注射治疗盘状半月板伴撕裂的临床疗效。方法 2020年6月至2022年12月共收治因盘状半月板伴撕裂就诊的患者26例,均为男性,平均年龄21.6(19~25)岁。研究组13例采取关节镜下半月板修复术联合PRP注射治疗,对照组13例单纯采用关节镜下半月板修复术,在术前、术后3个月、6个月及1年分别评估患者的疼痛视觉模拟评分(visual analogue scale, VAS)、国际膝关节评分委员会(International Knee Documentation Committee, IKDC)评分及膝关节活动度。结果 所有患者均取得了良好的治疗效果,随访过程中未发生不良事件。术后3个月研究组的VAS明显低于对照组(P<0.05),但术后6个月、12个月两组无统计学差异(P>0.05);研究组术后各个阶段IKDC评分均优于对照组(P<0.05);而术后膝关节活动度与对照组相比差异无统计学意义(P>0.05)。结论 关节镜下半月板修复术联合PRP注射治疗对盘状半月板伴撕裂患者疗效较好,能够缓解疼痛,改善膝关节功能,PRP能够促进半月板的愈合。

Objective To investigate the effectiveness of arthroscopic repair combined with plate rich plasm(PRP)injection in the treatment of discoid meniscus with complex tear.Methods Between June 2020 and December 2022,there were 26 patients underwent arthroscopic suture for discoid meniscus tear.All 26 pa-tients were male with an average age of 21.6 years(range,19~25 years).13 patients in the observe group underwent arthroscopic repair combined with PRP injection,and 13 patients in the control group only underwent arthroscopic suture.The indicators of knee joint function were compared 3,6,12 months after surgery to evaluate the effectiveness.The subjective indicators included clinical results,complications,International Knee Documentation Committee(IKDC)score,visual analogue scale(VAS)and the range motion of the knee.Results All patients achieved good outcomes without adverse events during the follow-up.The VAS of the observe group was significantly lower than that of the control group 3 months after surgery(P<0.05),but there was no significant difference 6 or 12 months after surgery(P>0.05).The IKDC scores of the observe group were better than that of the control group 3,6,12 months after surgery(P<0.05).There was no significant difference in the postoperative knee range of motion between the groups(P>0.05).Conclusion Arthroscopic meniscus repair combined with PRP injection can achieve good effect in patients with discoid meniscus tear.PRP can promote the healing of the meniscus after suturing,and the therapeutic method and postoperative therapeutic effect are reliable.