关节镜下全内缝合法联合自体富血小板血浆治疗半月板损伤疗效观察

Therapeutic Effect of Arthroscopic All-inside Suturing Technique Combined with Autologous Platelet-rich Plasma in the Treatment of Meniscus Injury

目的探讨关节镜下全内缝合法联合自体富血小板血浆(platelet-rich plasma,PRP)治疗半月板损伤的临床疗效。方法选取2021年1月—2023年6月梅州市人民医院收治的43例采用关节镜下全内缝合法联合PRP治疗半月板损伤患者作为研究组以及39例采用关节镜下全内缝合法治疗半月板损伤患者作为对照组,比较两组半月板损伤体征、膝关节功能、疼痛情况及生活质量。结果治疗后研究组关节绞索感、Mc Murray阳性率低于对照组,关节活动度高于对照组,差异有统计学意义(P<0.05)。治疗后研究组Tegner膝关节运动量表(TKMS)、Lysholm膝关节功能量表(LKS)、膝关节损伤和骨关节炎结果(KOOS)评分均高于对照组,差异有统计学意义(P<0.05)。治疗后研究组McGill评分低于对照组,压痛阈值高于对照组,差异有统计学意义(P<0.05)。结论关节镜下全内缝合法联合PRP治疗半月板损伤可以改善患者临床症状,提高膝关节功能,缓解疼痛。

Objective To explore the clinical efficacy of arthroscopic all-inside suture method combined with autologous platelet-rich plasma(PRP)in the treatment of meniscus injury.Methods Forty-three patients with meniscus injuries treated with arthroscopic all-inside suture method combined with PRP admitted to Meizhou People’s Hospital from January 2021 to June 2023 were selected as the study group,and 39 patients with meniscus injuries treated with single arthroscopic all-inside suture method were selected as the control group.The signs of meniscus injuries,knee function,pain and quality of life were compared between the two groups.Results After treatment,the study group had a significantly lower rate of joint strangulation and Mc Murray positivity than the control group,and a significantly higher rate of joint mobility than the control group(P<0.05).Tegner Knee Motion Scale(TKMS),Lysholm Knee Function Scale(LKS),Knee Injury and Osteoarthritis Outcome(KOOS)scores in the study group were significantly higher than in the control group after treatment(P<0.05).The McGill score of the study group was significantly lower than that of the control group after treatment,and the pressure pain threshold was significantly higher than that of the control group(P<0.05).Conclusion Arthroscopic all-inside suture method combined with PRP in the treatment of meniscus injury can improve the clinical symptoms of patients,improve the function of the knee joint and relieve pain.