首页|关节镜治疗青少年症状性盘状和非盘状半月板的临床疗效对比研究

关节镜治疗青少年症状性盘状和非盘状半月板的临床疗效对比研究

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目的 对比分析在青少年患者中采用关节镜治疗症状性盘状半月板(DLM)和非DLM的膝关节功能和临床预后。方法 回顾性分析2015-2021年该院收治的47例关节镜治疗的青少年患者,根据是否为DLM分为DLM组(20例)和非DLM组(27例)。比较分析2组患者临床特征、手术类型,以及术后6个月,1、2年国际膝关节评分委员会(IKDC)、体力活动问卷(PAQ)评分的差异。结果 DLM组患者年龄、体重指数均较非DML组低,差异均有统计学意义(P<0。05)。2组患者术后6个月,1、2年IKDC、PAQ评分均较术前明显改善,差异均有统计学意义(P<0。05),但2组患者各时间点IKDC、PAQ评分比较,差异均无统计学意义(P>0。05)。不同性别、年龄、手术类型患者IKDC、PAQ评分比较,差异均无统计学意义(P>0。05)。结论 关节镜手术能有效改善DLM和非DLM组患者膝关节功能,而性别、手术类型、年龄均不会影响术后膝关节功能和体力恢复情况。
Comparison of clinical efficacy of arthroscopy on symptomatic discoid and non-discoid lateral menisci in adolescents
Objective To compare and analyze the knee function and clinical prognosis of symptomatic discoid lateral meniscus(DLM)and non-DLM treated with arthroscopically in adolescent patients.Methods A total of 47 adolescent patients treated with arthroscopy in our hospital from 2015 to 2021 were retrospectively analyzed and divided into the DLM group(20 cases)and the non-DLM group(27 cases)according to whether they had DLM.The clinical features,type of surgery,and scores of the International Knee Documentation Committee(IKDC)and Physical Activity Questionnaire(PAQ)at six months,one year,and two years after surgery were compared between the two groups.Results The age and body mass index of the DLM group were lower than those of the non-DML group,and the differences were statistically significant(P<0.05).IK-DC and PAQ scores of patients in two groups were significantly improved six months after surgery,one year and two years after surgery,with statistical significance(P<0.05),but there was no statistical significance in IKDC and PAQ scores between two groups at each time point(P>0.05).There were no significant differ-ences in IKDC and PAQ scores among patients with different gender,age and type of surgery(P>0.05).Con-clusion Arthroscopic surgery can effectively improve the knee function of DLM and non-DLM patients,but gender,type of surgery,age do not affect the knee function and physical recovery.

ArthroscopesDiscoid lateral meniscusAdolescentTreatment outcomeComparative study

张海参、张峰、庄泽民、郝健明、魏厚全

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漳州卫生职业技术学院附属漳州市第三医院,福建漳州 363005

关节镜 盘状半月板 青少年 治疗结果 对比研究

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(4)
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