关节镜治疗半月板损伤的价值分析与临床研究.docVIP

精品论文 参考文献 关节镜治疗半月板损伤的价值分析与临床研究 湖南省张家界市人民医院 427000 【摘 要】目的：研究关节镜治疗半月板损伤的价值。方法：将2014年6月—2015年6月在我院接受治疗的半月板损伤患者65例作为对象，根据随机数字表法将65例半月板损伤患者分为2组，其中关节镜组、开放组分别33、32例。开放组给予传统开放手术治疗；关节镜组给予关节镜手术治疗。就两组患者术前术后膝关节功能评分值和膝关节功能优良率、关节内感染、血肿等并发症发生率进行比较。结果：关节镜组膝关节功能优良率明显高于开放组，关节内感染、血肿等并发症发生率低于开放组，P＜0.05。术前两组膝关节功能评分值无显著差异，P＞0.05。关节镜组患者术后膝关节功能评分值优于开放组，P＜0.05。结论：关节镜治疗半月板损伤的价值高，可有效改善膝关节功能，减少并发症的发生，效果确切，安全性高，值得推广。 【关键词】关节镜；半月板损伤；价值 [Abstract] Objective：To study the value of arthroscopy in the treatment of meniscus injury. Methods：from June 2014 to June 2015 in our hospital for treatment of patients with meniscus injury in 65 cases as the object，according to the random number table method，65 cases of meniscus injury were divided into 2 groups，one group and open group were 33 arthroscopy，32 cases. Open group was treated with traditional open surgery；arthroscopic surgery was given. In the two groups of patients with preoperative and postoperative knee function score and knee function excellent rate，joint infection，hematoma and other complications were compared. Results：the excellent rate of knee joint function in arthroscopic group was significantly higher than that in the open group，and the incidence of complications such as infection，hematoma and other complications was lower than that of the open group，P lt; 0.05. There was no significant difference in knee function score between the two groups before and during the operation，P gt; 0.05. Knee function score was better than that in the open group，P lt; 0.05. Conclusion：the value of arthroscopic treatment of meniscus injury is high，can effectively improve the function of knee joint，reduce the incidence of complications，the exact effect，high security，it is worth promoting. [Key words] arthroscopy；meniscus injury；value 半月板损伤为常见膝关节疾病，在青壮年中多发，多因关节退变、创伤等因素所致，手术治疗是半月板损伤有效治疗手段。但传统开放手术需将关节打开，创伤大，出血量多，手术时间长，术后容易出现关节僵硬和粘连等并发症，效果欠佳[1]。随着关节镜技术的推广，半月板损伤关节镜下治疗也得到广泛应用，其创伤小且术后并发症少，本研究探讨了关节镜治疗半月板损伤的价值，报道如下：