关节镜下半月板部分切除术的临床效果评价

目的探究关节镜下半月板部分切除术治疗膝关节半月板损伤的临床效果。 方法选取2017年11月至2018年11月南通大学第四附属医院骨科收治的膝关节半月板损伤患者98例，其中采用关节镜下半月板部分切除者纳入研究组(n＝49)，应用小切口半月板部分切除者纳入对照组(n＝49)。采用t检验对比分析两组患者的手术时间、手术费用、术前术后的疼痛视觉模拟评分(VAS评分)，术前术后膝关节Lysholm功能评分，采用卡方检验对比两组的临床治疗效果。 结果研究组的治疗效果明显优于对照组(χ²＝5.124，P<0.05)、两组患者术前Lysholm评分差异无统计学意义(t＝1.562，P>0.05)，研究组术后3 d(t＝14.154，P<0.05)及术后1年(t＝15.685，P<0.05)的Lysholm评分都显著高于对照组。两组患者术前疼痛评分无差异(P>0.05)，术后3 d研究组患者的静息痛评分(t＝13.974，P<0.05)和行走痛评分(t＝13.976，P<0.05)均低于对照组，术后1年研究组患者的静息痛评分(t＝14.258，P<0.05)和行走痛评分(t＝14.859，P<0.05)亦显著低于对照组。对照组的手术时间短于研究组(t＝8.568，P<0.05)，且手术费用更低(t＝3.405，P<0.05)。 结论关节镜下半月板部分切除治疗膝关节半月板损伤的临床效果较好，且有创伤小，疼痛轻等优点，小切口半月板部分切除术的技术难度较低，亦可在临床中选择性采用。

Clinical effect evaluation of arthroscopic partial menisectomy

ObjectiveTo investigate the clinical effect of arthroscopic partial menisectomy in the treatment of knee meniscus injury. MethodsFrom November 2017 to November 2018, 98 patients with knee meniscus injury treated in the Department of Orthopedics, the Fourth Affiliated Hospital of Nantong University were collected. Patients in the control group were treated with open meniscectomy (n=49). Patients in the study group were treated with arthroscopic partial menisectomy (n=49). The operation time, cost, visual analogue score(VAS) of preoperative and postoperative pain, preoperative and postoperative Lysholm function score of the knee joint was compared and analyzed by t test. The clinical treatment effect of the two groups was compared by chi-square test. ResultsThe treatment effect of the study group was significantly better than that of the control group (χ²=5.124, P <0.05). There was no significant difference in Lysholm scores between the two groups before surgery (t=1.562, P>0.05). The Lysholm score of the study group was significantly higher than that of the control group three days (t=14.154, P <0.05) and one year (t=15.685, P <0.05) after the surgery. There was no difference in the preoperative pain score of two groups (P> 0.05). The resting pain score (t =13.974, P <0.05) and walk pain score (t=13.976, P <0.05) in three days after surgey of the study group were lower than the control group, and the resting pain score (t=14.258, P <0.05) and walk pain score (t=14.859, P <0.05) one year after surgery of the study group were significantly lower than the control group. The operation time of the control group was shorter than the study group (t=8.568, P <0.05), and the operation cost was lower (t=3.405, P <0.05). ConclusionArthroscopic partial menisectomy for meniscus injury has a good clinical effect, and has the advantages of less trauma and less pain, while modified open meniscectomy is easier in technique and can be used selectively in clinic.