首页|关节镜半月板修补缝合术治疗膝关节半月板损伤的疗效及对关节活动度的影响

关节镜半月板修补缝合术治疗膝关节半月板损伤的疗效及对关节活动度的影响

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目的 探究关节镜半月板修补缝合术对膝关节半月板损伤的临床治疗效果及对关节活动度的影响.方法 选取膝关节半月板损伤患者 105 例,其中将使用关节镜半月板修补缝合术进行治疗的 55 例患者纳入研究组,将使用关节镜半月板切除术进行治疗的50例患者纳入对照组.统计两组患者手术指标,比较两组患者术后 2 个月治疗效果,比较两组患者术前及术后2个月膝关节功能、疼痛情况,记录术后 2 个月内并发症发生率.结果 两组患者各项手术指标比较差异无统计学意义(P>0.05);术后 2 个月后,研究组患者临床治疗优良率(70.9%)明显高于对照组(52.0%)(P<0.05);术后 2 个月,两组患者膝关节功能评估均明显高于术前,且研究组明显高于对照组(P<0.05);术后2 个月,两组患者VAS评分明显低于术前,且研究组明显低于对照组(P<0.05);术后2 个月内,研究组患者术后并发症发生率(10.9%)明显低于对照组(26.0%)(P<0.05).结论 关节镜半月板修补缝合术可有效提高半月板损伤患者临床治疗效果,减轻患者疼痛程度,改善膝关节功能,且术后并发症发生率较低,具有较好的安全性.
Effect of Arthroscopic Meniscus Repair and Suture on Meniscus Injury of Knee Joint and Its Influence on Joint Range of Motion
Objective To investigate the clinical effect of arthroscopic meniscus repair and suture on meniscus injury of knee joint and its influence on joint range of motion.Methods A total of 105 patients with meniscus injury of knee joint were selected,among which 55 patients treated with arthroscopic meniscus repair and suture were included in the study group,and 50 patients treated with arthroscopic meniscectomy were included in the control group.The surgical indexes of the two groups were analyzed and the therapeutic effects of the two groups were compared two months after surgery.The knee function and pain of the two groups were compared before and two months after surgery,and the incidence of complications within two months after surgery was recorded.Results There were no significant differences in surgical indexes between the two groups(P>0.05).Two months after surgery,the excellent and good rate of clinical treatment in the study group(70.9%)was significantly higher than that in the control group(52.0%)(P<0.05).Two months after surgery,the knee function evaluation of both groups was significantly higher than that before surgery,and the study group was significantly higher than the control group(P<0.05).Two months after surgery,VAS scores of both groups were significantly lower than those before surgery,and the study group was significantly lower than the control group(P<0.05).Two months after surgery,the incidence of postoperative complications in the study group(10.9%)was significantly lower than that in the control group(26.0%)(P<0.05).Conclusions Arthroscopic meniscus repair and suture can effectively improve the clinical treatment effect of patients with meniscus injury,reduce the de-gree of pain,improve the knee joint function,and have a low incidence of postoperative complications,with good safety.

arthroscopymeniscus injury of knee jointmeniscus repair and sutureclinical efficacyjoint range of motion

韩延明、焦文仓、王珂

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中国人民解放军联勤保障部队第九八八医院骨科关节外科,河南 郑州 450000

关节镜 膝关节半月板损伤 半月板修补缝合术 临床疗效 关节活动度

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(1)
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