膝关节镜治疗膝关节外伤患者的疗效及安全性

Effect and Safety of Knee Arthroscopy in Treatment of Patients with Knee Joint Injuries

目的探讨膝关节镜在膝关节外伤治疗中的应用价值。方法选取2018年1月—2022年12月本院所收治的80例膝关节外伤患者参与研究,按随机数字表法进行组别划分,对照组(n=40)采用传统开放手术治疗,观察组(n=40)采用膝关节镜手术治疗。干预工作结束后对两组疗效、膝关节功能、围术期指标进行观察和比较。结果观察组疗效优于对照组,差异有统计学意义(P<0.05)。将术前两组Lysholm膝关节功能评分进行对比,差异无统计学意义(P>0.05);术后两组此项评分显著升高,对比术前差异有统计学意义(P<0.05);将术后两组此项评分进行对比,差异有统计学意义(P<0.05)。观察组手术时间、下床时间、住院时间、膝关节功能恢复时间均比对照组短,差异有统计学意义(P<0.05)。结论膝关节外伤患者采用膝关节镜手术治疗,疗效显著,可改善患者膝关节功能,促进患者预后恢复,值得临床推广应用。

Objective To explore application value of knee arthroscopy for knee joint trauma.Methods The paper chose 80 patients with knee joint injuries admitted to our hospital from January 2018 to December 2022 for study,and divided them into groups with random number table method.40 cases in control group were treated with traditional open surgery,while 40 cases in observation group with knee arthroscopic surgery.After intervention,curative effect,knee joint function,and perioperative indicators were observed and compared between two groups.Results Surgical approach in observation group had better curative effect than control group,with statistical significance(P<0.05).Comparing preoperative Lysholm knee joint function scores between two groups,data showed similar consistency(P>0.05).After surgery,scores increased significantly in two groups,and there was statistically significant difference compared with before surgery(P<0.05).Difference in scores between two postoperative groups was statistically significant(P<0.05).Observation group had shorter surgical time,bed time,hospital stay,and knee joint function recovery time than control group,difference was statistically significant(P<0.05).Conclusion Knee arthroscopic treatment for patients with knee joint injuries has significant curative effect,can improve knee joint function,and promote patients prognosis recovery.