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(1)
【摘要】 目的：探討关节镜治疗膝关节盘状半月板损伤的临床效果，并分析术后疼痛的危险因素。方法：选择2013年9月-2016年9月本院收治的56例侧膝关节盘状半月板损伤患者作为研究对象。患者均行关节镜下半月板成形术，观察治疗效果，对比术后无痛者和术后疼痛者临床资料及术后处理情况，分析术后疼痛的危险因素。结果：术后Ikeuchi膝关节功能评分优良率高达89.29%，显著高于术前评分优良率(0)，差异有统计学意义(P<0.05)。术后无痛者为50例，疼痛者为6例。疼痛者和术后无痛者在体质量指数、性别比例方面比较，差异均无统计学意义(P>0.05)。疼痛者平均年龄(56.38±9.57)岁、关节软骨损伤(83.33%)占比均显著高于无痛者的(30.25±8.35)岁、22.00%，差异均有统计学意义(P<0.05)。疼痛者术后负重时间<7 d者(66.67%)、术后未冷敷者占比(83.33%)均显著高于术后无痛者的14.00%、18.00%，差异均有统计学意义(P<0.05)。结论：关节镜治疗膝关节盘状半月板损伤效果可靠，但存在较多术后疼痛危险因素，应及时采取预防性干预措施，降低术后疼痛风险。
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【关键词】 关节镜； 膝关节盘状半月板损伤； 疗效； 术后疼痛； 危险因素
【Abstract】 Objective：To investigate the clinical efficacy of arthroscopic treatment of discoid meniscus injury of knee joint and to analyze the risk factors of postoperative pain.Method：From September 2013 to September 2016，56 patients with discoid meniscus injury of lateral knee were selected as subjects.All the patients were treated with arthroscopic meniscal angioplasty to observe the therapeutic effect， the effect of treatment was observed，the clinical data of painless and postoperative pain after operation and the post-operative treatment were compared，and analyzed the risk factors of postoperative pain.Result：The excellent rate of Ikeuchi knee joint function score was 89.29%，which was higher than 0 of preoperative scoring，the difference was significant(P<0.05).The postoperative pain was 50 cases，and the pain was 6 cases.There was no significant difference in body mass index and sex ratio between the patients with pain and those who had no pain after operation(P>0.05).The average age of the pain patients (56.38±9.57)years old and articular cartilage damage (83.33%) were higher than those without pain (30.25±8.35) years old，22.00%，the differences were statistically significant(P<0.05).The weight bearing time of patients with pain less than 7 days was 66.67% and the proportion of patients without cold compress was 83.33%，which were significantly higher than 14.00% and 18.00% of painless patients with postoperative pain，the differences were statistically significant(P<0.05).Conclusion：Arthroscopic treatment of knee disc meniscus injury is reliable，but there are more risk factors for postoperative pain，and preventive intervention measures should be taken in a timely manner to reduce postoperative pain risk.
【Key words】 Arthroscopy； Discoid meniscus injury of knee joint； Curative effect； Postoperative pain； Risk factor
First-author’s address：Puning Overseas Chinese Hospital，Puning 515300，China, 百拇医药(许喜林)
, http://www.100md.com
【关键词】 关节镜； 膝关节盘状半月板损伤； 疗效； 术后疼痛； 危险因素
【Abstract】 Objective：To investigate the clinical efficacy of arthroscopic treatment of discoid meniscus injury of knee joint and to analyze the risk factors of postoperative pain.Method：From September 2013 to September 2016，56 patients with discoid meniscus injury of lateral knee were selected as subjects.All the patients were treated with arthroscopic meniscal angioplasty to observe the therapeutic effect， the effect of treatment was observed，the clinical data of painless and postoperative pain after operation and the post-operative treatment were compared，and analyzed the risk factors of postoperative pain.Result：The excellent rate of Ikeuchi knee joint function score was 89.29%，which was higher than 0 of preoperative scoring，the difference was significant(P<0.05).The postoperative pain was 50 cases，and the pain was 6 cases.There was no significant difference in body mass index and sex ratio between the patients with pain and those who had no pain after operation(P>0.05).The average age of the pain patients (56.38±9.57)years old and articular cartilage damage (83.33%) were higher than those without pain (30.25±8.35) years old，22.00%，the differences were statistically significant(P<0.05).The weight bearing time of patients with pain less than 7 days was 66.67% and the proportion of patients without cold compress was 83.33%，which were significantly higher than 14.00% and 18.00% of painless patients with postoperative pain，the differences were statistically significant(P<0.05).Conclusion：Arthroscopic treatment of knee disc meniscus injury is reliable，but there are more risk factors for postoperative pain，and preventive intervention measures should be taken in a timely manner to reduce postoperative pain risk.
【Key words】 Arthroscopy； Discoid meniscus injury of knee joint； Curative effect； Postoperative pain； Risk factor
First-author’s address：Puning Overseas Chinese Hospital，Puning 515300，China, 百拇医药(许喜林)
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