[1]穆 亮,张志宏,董恒纲.关节镜治疗膝关节盘状半月板损伤患者对其膝关节功能及生活质量的影响[J].医学信息,2022,35(14):92.[doi:10.3969/j.issn.1006-1959.2022.14.021]
　MU Liang,ZHANG Zhi-hong,DONG Heng-gang.Effect of Arthroscopic Treatment on Knee Joint Function and Quality of Life in Patients with Discoid Meniscus Injury of Knee Joint[J].Medical Information,2022,35(14):92.[doi:10.3969/j.issn.1006-1959.2022.14.021]
点击复制

关节镜治疗膝关节盘状半月板损伤患者对其膝关节功能及生活质量的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年14期
页码:
92
栏目:
论著
出版日期:
2022-07-15

文章信息/Info

Title:
Effect of Arthroscopic Treatment on Knee Joint Function and Quality of Life in Patients with Discoid Meniscus Injury of Knee Joint
文章编号:
1006-1959（2022）14-0092-04
作者:
穆 亮; 张志宏; 董恒纲
（天津市第一医院骨科，天津 300000）
Author(s):
MU Liang; ZHANG Zhi-hong; DONG Heng-gang
(Department of Orthopaedics,Tianjin First Hospital,Tianjin 300000,China)
关键词:
盘状半月板损伤; 关节镜; 膝关节功能; 生活质量; 手术并发症
Keywords:
Discoid meniscus injury; Arthroscopy; Knee joint function; Quality of life; Surgical complications
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2022.14.021
文献标志码:
A
摘要:
目的 研究关节镜治疗膝关节盘状半月板损伤患者对其膝关节功能及生活质量的影响。方法 选取2020年1月-2021年1月我院收治的78例膝关节盘状半月板损伤患者，以治疗方案为依据分为对照组与观察组，将开放式手术治疗的患者设对照组，关节镜下手术治疗患者设为观察组，各39例。比较两组膝关节疼痛程度[疼痛视觉模拟评分法（VAS）]、Lysholm膝关节量表及Tegner活动水平量表评分、手术疗效、并发症、健康调查简表（SF-36）评分。结果 两组术后1个月静、动态VAS评分均低于术前，且观察组低于对照组（P＜0.05）；两组术后3个月Lysholm、Tegner评分均高于术前，且观察组高于对照组（P＜0.05）；观察组手术优良率为84.62%，高于对照组的64.10%（P＜0.05）；观察组并发症发生率为5.13%，低于对照组的23.08%（P＜0.05）；两组术后6个月SF-36评分均高于术前，且观察组高于对照组（P＜0.05）。结论 关节镜治疗膝关节盘状半月板损伤疗效确切，可有效缓解患者的疼痛症状，改善其膝关节功能，且手术并发症少，有利于患者生活质量的提升。
Abstract:
Objective To study the effect of arthroscopic treatment on knee joint function and quality of life in patients with discoid meniscus injury of knee joint.Methods A total of 78 patients with discoid meniscus injury of knee joint admitted to our hospital from January 2020 to January 2021 were selected and divided into control group and observation group according to the treatment plan. Patients treated with open surgery were set as control group, and patients treated with arthroscopic surgery were set as observation group, with 39 cases in each group. The degree of knee pain [ visual analogue scale (VAS)], Lysholm knee scale and Tegner activity scale score, surgical efficacy, complications and SF-36 score were compared between the two groups.Results The static and dynamic VAS scores of the two groups at 1 month after operation were lower than those before operation, and those of the observation group were lower than the control group (P<0.05). Lysholm and Tegner scores of the two groups at 3 months after operation were higher than those before operation, and those of the observation group were higher than the control group (P<0.05). The excellent and good rate of operation in the observation group was 84.62%, which was higher than 64.10% in the control group (P<0.05). The incidence of complications in the observation group was 5.13%, which was lower than 23.08% in the control group (P<0.05). The SF-36 scores of the two groups at 6 months after operation were higher than those before operation, and the observation group was higher than the control group (P<0.05).Conclusion Arthroscopy is effective in treating discoid meniscus injury of the knee joint, which can effectively relieve the pain symptoms of patients, improve their knee joint function, and reduce surgical complications, which is conducive to the improvement of the quality of life of patients.

参考文献/References:

[1]刘文腾,杨会龙,李震,等.膝关节外侧盘状半月板损伤的关节镜治疗效果分析[J].中国药物与临床,2021,21(11):1931-1932.[2]许玮,张旭鸣,杨新,等.关节镜治疗膝关节半月板损伤疗效的对照性研究及术后疼痛的相关危险因素分析[J].福建医科大学学报,2020,54(2):103-107.[3]李晨,肖雷,李俊,等.胫骨近端双平面截骨结合关节镜技术治疗合并内侧半月板损伤的膝关节内翻性骨性关节炎[J].中国内镜杂志,2020,26(4):35-39.[4]王爱明,肖智青,王凤龙,等.关节镜治疗联合运动疗法治疗非外伤性退行性膝关节内侧半月板损伤的效果分析[J].中国医药科学,2020,10(6):270-272,287.[5]Lu J,Chen Y,Hu M,et al.Clinical efficacy of arthroscopy in the treatment of discoid meniscus injury and related risk factors for postoperative pain[J].Annals of Palliative Medicine,2020,9(6):4002-4009.[6]眭江涛,汪睿,谢江,等.膝关节盘状半月板损伤关节镜治疗的疗效及术后疼痛的影响因素分析[J].川北医学院学报,2016,31(6):786-788.[7]陈小光,陈阳.膝关节骨性关节炎伴半月板损伤的关节镜治疗分析[J].现代仪器与医疗,2018,24(3):75-77.[8]王立生,沙周,谢小东,等.关节镜治疗膝关节半月板损伤的疗效观察及术后疼痛的危险因素分析[J].微创医学,2018,13(1):96-97,28.[9]颜学亮,陈小明,张洁,等.关节镜治疗退行性膝关节内侧半月板损伤患者的预后评价[J].中国内镜杂志,2018,24(1):39-44.[10]宋山峰,李百华,王会如,等.关节镜下半月板成形缝合术对半月板损伤的疗效分析[J].河南医学研究,2018,27(7):1258-1259.[11]Chen XX,Jian L,Wang T,et al.Anatomical Knee Variants in Discoid Lateral Meniscal Tears[J].Chinese Medical Journal,2017,130(5):536-541.[12]张小钰,汪玉海,马敬祖,等.探讨关节镜治疗膝关节盘状半月板损伤的临床疗效及术后疼痛的影响因素[J].创伤外科杂志,2017,19(10):766-769.[13]张立超,李志怀,徐丛,等.关节镜治疗膝关节盘状半月板损伤疗效观察及术后疼痛危险因素分析[J].承德医学院学报,2017,34(4):291-293.[14]赵捷,王林.关节镜治疗膝关节盘状半月板损伤的疗效及术后疼痛因素分析[J].浙江创伤外科,2019,24(2):252-253.[15]白涛,王迎春,呼瑞,等.关节镜手术治疗膝关节半月板损伤的疗效及优点分析[J].西南国防医药,2018,28(2):165-167.[16]麦剑军,徐斌,涂俊,等.关节镜下手术治疗膝关节盘状半月板损伤的有效性:单中心,自身对照[J].中国组织工程研究,2019,23(4):532-537.[17]周超,徐斌,涂俊.关节镜治疗膝关节外侧盘状半月板损伤的临床疗效及术后疼痛的危险因素[J].中国运动医学杂志,2019,38(11):930-937.[18]陈雍华,杨阳,陈曲.关节镜治疗膝关节半月板损伤的临床研究[J].局解手术学杂志,2019,28(4):329-331.[19]金亚平,徐刚,金建华,等.关节镜治疗膝关节盘状半月板损伤的疗效及术后疼痛的危险因素分析[J].中华全科医学,2015,13(11):1796-1798.[20]郑守超,石晶,王峰,等.关节镜下半月板成形术治疗膝关节半月板损伤患者的效果观察及对Lysholm评分、关节生理功能的影响[J].解放军医药杂志,2021,33(3):82-86.[21]Mai JJ,Xu B,Tu J,et al.Efficacy of arthroscopic surgery for discoid lateral meniscus injury in knee joint:a self-control study[J].Clinical Trials in Orthopedic Disorders,2018,3(4):89-96.

相似文献/References:

[1]仲鹤鹤,杨 晋,刘 毅.关节镜辅助下髓芯减压联合钽棒置入治疗早期股骨头坏死的研究[J].医学信息,2018,31(20):186.[doi:10.3969/j.issn.1006-1959.2018.20.059]
　ZHONG He-he,YANG Jin,LIU Yi.Treatment of Early Femoral Head Necrosis by Arthroscopic Core Decompression Combined with Tantalum Rod Implantation[J].Medical Information,2018,31(14):186.[doi:10.3969/j.issn.1006-1959.2018.20.059]
[2]朱成祥,赵其纯.关节镜下LARS韧带重建后交叉韧带的早期临床疗效分析[J].医学信息,2018,31(21):97.[doi:10.3969/j.issn.1006-1959.2018.21.026]
　ZHU Cheng-xiang,ZHAO Qi-chun.Analysis of the Early Clinical Effect of Arthroscopic Reconstruction of the Posterior Cruciate Ligament with LARS Ligament[J].Medical Information,2018,31(14):97.[doi:10.3969/j.issn.1006-1959.2018.21.026]
[3]权 冬,曾钦梅,张 维,等.关节镜下射频手术治疗军事训练相关外侧型弹响髋的临床研究[J].医学信息,2019,32(03):107.[doi:10.3969/j.issn.1006-1959.2019.03.033]
　QUAN Dong,ZENG Qin-mei,ZHANG Wei,et al.Clinical Study of Arthroscopic Radiofrequency Ablation forMilitary Training Related External Snapping Hip[J].Medical Information,2019,32(14):107.[doi:10.3969/j.issn.1006-1959.2019.03.033]
[4]高砚文,徐 丛,吕永明.关节镜手术与保守治疗青年人群初次肩关节前脱位的临床疗效[J].医学信息,2018,31(22):73.[doi:10.3969/j.issn.1006-1959.2018.22.020]
　GAO Yan-wen,XU Cong,LV Yong-ming.Clinical Efficacy of Arthroscopic Surgery and Conservative Treatment of Initial Anterior Shoulder Dislocation in Young People[J].Medical Information,2018,31(14):73.[doi:10.3969/j.issn.1006-1959.2018.22.020]
[5]陆细红,贺洪辉,向 亮.关节镜治疗青少年膝关节盘状半月板损伤的临床疗效[J].医学信息,2019,32(11):103.[doi:10.3969/j.issn.1006-1959.2019.11.028]
　LU Xi-hong,HE Hong-hui,XIANG Liang.Clinical Efficacy of Arthroscopy in the Treatment of Discoid Meniscus Injury in Adolescents[J].Medical Information,2019,32(14):103.[doi:10.3969/j.issn.1006-1959.2019.11.028]
[6]吴旭辉,罗林峰,吴江林,等.关节镜下内侧半月板成形术治疗中老年内侧半月板后角根部断裂的疗效及其对膝关节功能的影响[J].医学信息,2022,35(15):51.[doi:10.3969/j.issn.1006-1959.2022.15.010]
　WU Xu-hui,LUO Lin-feng,WU Jiang-lin,et al.Effect of Arthroscopic Medial Meniscus Angioplasty in the Treatment of Middle-aged and Elderly Medial Meniscus Posterior Horn Root Fracture and its Effect on Knee Joint Function[J].Medical Information,2022,35(14):51.[doi:10.3969/j.issn.1006-1959.2022.15.010]
[7]杨建水.肩袖修复术后再撕裂相关因素的研究[J].医学信息,2020,33(01):46.[doi:10.3969/j.issn.1006-1959.2020.01.016]
　YANG Jian-shui.Study on the Related Factors of Re-tear After Rotator Cuff Repair[J].Medical Information,2020,33(14):46.[doi:10.3969/j.issn.1006-1959.2020.01.016]
[8]吴常杰,李英祥,闫帮楷,等.关节镜下治疗原发性冻结肩的疗效及并发症风险分析[J].医学信息,2021,34(22):1.[doi:10.3969/j.issn.1006-1959.2021.22.001]
　WU Chang-jie,LI Ying-xiang,YAN Bang-kai,et al.Effect of Arthroscopic Treatment of Primary Frozen Shoulder and Risk of Complications[J].Medical Information,2021,34(14):1.[doi:10.3969/j.issn.1006-1959.2021.22.001]
[9]曾学珠,范 程,汤 波.关节镜下有限松解结合麻醉下推拿治疗顽固性冻结肩的疗效观察[J].医学信息,2021,34(22):4.[doi:10.3969/j.issn.1006-1959.2021.22.002]
　ZENG Xue-zhu,FAN Cheng,TANG Bo.Clinical Efficacy of Arthroscopic Limited Release and Manipulation Under Anesthesia on Refractory Frozen Shoulder[J].Medical Information,2021,34(14):4.[doi:10.3969/j.issn.1006-1959.2021.22.002]
[10]廖俊勇,夏卫民,张涛根.关节镜联合富血小板血浆治疗半月板损伤的临床分析[J].医学信息,2021,34(22):37.[doi:10.3969/j.issn.1006-1959.2021.22.010]
　LIAO Jun-yong,XIA Wei-min,ZHANG Tao-gen.Clinical Analysis of Arthroscopic Combined with Platelet-rich Plasma in the Treatment of Meniscus Injury[J].Medical Information,2021,34(14):37.[doi:10.3969/j.issn.1006-1959.2021.22.010]

更新日期/Last Update: 1900-01-01