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关节镜手术在膝关节损伤治疗中的临床效果研究

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目的 探讨在膝关节损伤治疗中应用关节镜手术的临床效果。方法 选取 60 例膝关节损伤患者,通过随机数字表法分为观察组及对照组,各 30 例。对照组予以开放手术治疗,观察组予以关节镜手术治疗。比较两组治疗效果、手术相关指标、术后疼痛程度、膝关节功能、并发症发生情况。结果 观察组治疗总有效率 93。33%高于对照组的 73。33%,差异显著(P<0。05)。观察组手术时间、下床时间以及住院时间分别为(61。23±6。55)min、(3。23±0。75)d、(6。23±1。47)d,均短于对照组的(75。63±8。34)min、(5。12±1。04)d、(9。49±1。73)d,术中出血量(17。23±5。34)ml少于对照组的(45。52±6。29)ml,差异显著(P<0。05)。观察组患者术后 12、24、48 h的疼痛数字评定量表(NRS)评分分别为(4。05±0。16)、(3。65±0。32)、(2。75±0。46)分,均显著低于对照组患者的(4。57±0。23)、(4。02±0。46)、(3。65±0。67)分,差异显著(P<0。05)。治疗后,两组患者Lysholm评分均升高,且与对照组的(80。22±9。81)分比较,观察组的(86。61±10。62)分更高,差异显著(P<0。05)。观察组并发症发生率 6。67%显著低于对照组的 26。67%,差异显著(P<0。05)。结论 膝关节损伤应用关节镜手术治疗能够发挥显著的效果,不仅能够促使患者疼痛程度降低,而且对患者膝关节功能发挥良好的改善作用,安全性高,值得推广应用。
Clinical effect of arthroscopic surgery in the treatment of knee joint injuries
Objective To explore the clinical effect of arthroscopic surgery in the treatment of knee joint injuries.Methods 60 patients with knee joint injuries were divided into an observation group and a control group by random numerical table,with 30 cases in each group.The control group received open surgery treatment,while the observation group received arthroscopic surgery treatment.The treatment effect,surgical related indicators,postoperative pain level,knee function,and occurrence of complications were compared between the two groups.Results The total effective rate of 93.33%in the observation group was higher than 73.33%in the control group,and the difference was significant(P<0.05).In the observation group,the operation time,off-bed time and hospital stay were(61.23±6.55)min,(3.23±0.75)d and(6.23±1.47)d,which were shorter than(75.63±8.34)min,(5.12±1.04)d and(9.49±1.73)d in the control group;the intraoperative blood loss of(17.23±5.34)ml in the observation group wes less than(45.52±6.29)ml in the control group;the difference was significant(P<0.05).The numerical rating scale(NRS)scores of the observation group were(4.57±0.23),(4.02±0.46)and(3.65±0.67)points at 12,24 and 48 h after surgery,which were significantly lower than(4.57±0.23),(4.02±0.46)and(3.65±0.67)points of the control group.The difference was significant(P<0.05).After treatment,the Lysholm score in both groups was increased,and the observation group[(86.61±10.62)points]was higher than the control group[(80.22±9.81)points].The difference was significant(P<0.05).The complication rate of 6.67%in the observation group was significantly lower than 26.67%in the control group(P<0.05).Conclusion The application of arthroscopic surgery has significant effect in the treatment of knee joint injuries,which can not only promote the improvement of patients'pain level,but also play a good role in improving knee joint function.It has high safety,and is worth promoting and applying.

Arthroscopic surgeryKnee joint injuriesJoint functionDegree of painComplications

马杰德、张治堂

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730900 白银市第二人民医院骨科一病区

关节镜手术 膝关节损伤 关节功能 疼痛程度 并发症

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(19)