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[1]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(02):103-107.
 XU Wei,ZHANG Xuming,YANG Xin,et al.Observation of the Effect of Arthroscopic Treatment of MeniscusInjury of Knee and Postoperative Pain Risk Factors Analysis[J].Journal of Fujian Medical University,2020,54(02):103-107.
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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(PDF)
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第54卷
期数:
2020年02期
页码:
103-107
栏目:
临床研究
出版日期:
2020-04-30

文章信息/Info

Title:
Observation of the Effect of Arthroscopic Treatment of MeniscusInjury of Knee and Postoperative Pain Risk Factors Analysis
文章编号:
1672-4194(2020)02-0103-05
作者:
许 玮 张旭鸣 杨 新 柯 铁 蔡鸿儒 高 翔
福建医科大学 省立临床医学院,福建省立医院 急诊外科(创伤中心),福建省急诊医学重点实验室(创伤研究室),福州 350001
Author(s):
XU Wei ZHANG Xuming YANG Xin KE Tie CAI Hongru GAO Xiang
Clinical Institute of Fujian Province, Fujian Medical University; Department of Emergency Surgery(Trauma Center),Fujian Provincial Hospital; Department of Trauma Research Institute, Fujian ProvincialKey Laboratory of Emergency Medicine, Fuzhou 350001, China
关键词:
节镜 半月板胫骨/损伤 关节 膝关节 膝损伤 治疗结果 疼痛 危险因素
Keywords:
arthroscopes menisci tibial/injuries joints knee joint knee injuries treatment outcome pain risk factors
分类号:
R323.72; R684
DOI:
-
文献标志码:
A
摘要:
目的 探讨应用关节镜治疗半月板损伤的效果及引起术后疼痛的因素,提高治疗效果并改善预后。 方法 收集膝关节半月板损伤患者80例,均行关节镜治疗,其中行半月板成形术47例,行半月板修补缝合术33例。随访6月,比较两种手术方式的治疗效果。同时采取单因素及多因素分析法对术后疼痛的相关危险因素进行分析。 结果 80例中,治疗优良73例,优良率91.25%,其中44例(91.49%)行半月板成形术,30例(90.91%)行半月板修补缝合术,两种手术方法在治疗优良率方面差别无统计学意义(P>0.05)。术后3及6月,不同损伤类型患者的IKDC及Lysholm评分均较治疗前升高,差别均有统计学意义(P<0.05)。行单因素及多因素分析结果显示,年龄≥55岁、合并关节软骨损伤、术后开始负重的时间<7 d、术后未行肢体冷敷及行滑膜切除为膝关节半月板损伤术后疼痛的独立危险因素。在单因素分析中,冷敷时间<12 h与>12 h结果差别有统计学意义(P<0.05),提示冷敷时间不足亦可能是危险因素之一。 结论 关节镜下半月板成形术及修补缝合术治疗膝关节半月板损伤疗效良好,两种术式的疗效无差异。治疗过程中,临床医师可根据患者的年龄、软骨损伤、是否行滑膜切除术及冷敷等危险因素予以科学的干预,以降低术后疼痛并提高舒适度,促进康复并改善预后。
Abstract:
Objective To explore the effect of arthroscopy in the treatment of meniscus injury, and to analyze the pain after operation by single factor and multi-factor analysis. Method The clinical data of 80 patients with knee meniscus injury admitted to our hospital from January 2015 to October 2018 were retrospectively analyzed. All patients were treated by arthroscopy. The therapeutic effect of the patients was observed. In addition, the patients were followed up for 6 months. The risk factors of postoperative pain were analyzed by univariate and multivariate analysis. Result After arthroscopic treatment, the results showed that 73 of the 80 patients were excellent after treatment, the excellent and good rate was 91.25%. Among them, 47 patients were treated with meniscus plasty, accounting for 91.49%. 33 patients were treated with meniscus repair and suture, accounting for 90.91%. There was no significant difference in the excellent and good rate between the two methods(P>0.05). IKDC and Lysholm scores of knee joint function in patients with different injury types were higher than those before treatment, and the difference was statistically significant(P<0.05). Univariate and multivariate analysis showed that age > 55 years old, joint cartilage injury, the time of beginning weight-bearing after operation < 7 days, and no cold compress after operation were independent risk factors for pain after meniscus injury of knee joint. Conclusion For meniscus injury of knee, arthroscopic treatment can achieve good results. In order to prevent the occurrence of pain after operation, relevant medical staff can intervene scientifically according to the risk factors such as age, cartilage injury and cold compress, so as to reduce pain and improve patient’s comfort, promote patient’s rehabilitation and improve patient’s prognosis.

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备注/Memo

备注/Memo:
收稿日期: 2019-05-23基金项目: 国家级临床重点专科建设项目(急诊医学2012); 福建省自然科学基金(2016J01499)作者简介: 许 玮,男,副主任医师,医学硕士. Email:xworthopedist@163.com
更新日期/Last Update: 2020-04-30