中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
1期
184-186
,共3页
膝关节创伤%开发手术%微创处理
膝關節創傷%開髮手術%微創處理
슬관절창상%개발수술%미창처리
Knee trauma%Open surgery%Minimally invasive treatment
目的：探究分析膝关节创伤患者微创处理的临床疗效。方法选取我院2008年6月～2013年6月收治的膝关节创伤患者62例，作为临床研究对象。将所有患者进行随机分组，每组各89例，对照组患者采用常规开放手术治疗，试验组患者采用关节镜微创技术治疗。对患者术后进行随访，记录并比较两组患者Neer评分情况和临床效果，并调查两组患者治疗后的并发症发生情况。结果试验组患者术后Neer评分情况明显优于对照组，其显效率及总有效率（58.06%、90.32%）均明显高于对照组患者（22.58%、29.03%），且试验组患者术后出现如脱位、头坏死、关节感染、异位骨化等并发症的总发生率小于对照组32.26%，差异有统计学意义（P＜0.05）。结论关节镜微创技术治疗膝关节创伤优势明显，创伤小，并发症少，Neer评分情况良好，有一定的临床优势，值得推广使用。
目的：探究分析膝關節創傷患者微創處理的臨床療效。方法選取我院2008年6月～2013年6月收治的膝關節創傷患者62例，作為臨床研究對象。將所有患者進行隨機分組，每組各89例，對照組患者採用常規開放手術治療，試驗組患者採用關節鏡微創技術治療。對患者術後進行隨訪，記錄併比較兩組患者Neer評分情況和臨床效果，併調查兩組患者治療後的併髮癥髮生情況。結果試驗組患者術後Neer評分情況明顯優于對照組，其顯效率及總有效率（58.06%、90.32%）均明顯高于對照組患者（22.58%、29.03%），且試驗組患者術後齣現如脫位、頭壞死、關節感染、異位骨化等併髮癥的總髮生率小于對照組32.26%，差異有統計學意義（P＜0.05）。結論關節鏡微創技術治療膝關節創傷優勢明顯，創傷小，併髮癥少，Neer評分情況良好，有一定的臨床優勢，值得推廣使用。
목적：탐구분석슬관절창상환자미창처리적림상료효。방법선취아원2008년6월～2013년6월수치적슬관절창상환자62례，작위림상연구대상。장소유환자진행수궤분조，매조각89례，대조조환자채용상규개방수술치료，시험조환자채용관절경미창기술치료。대환자술후진행수방，기록병비교량조환자Neer평분정황화림상효과，병조사량조환자치료후적병발증발생정황。결과시험조환자술후Neer평분정황명현우우대조조，기현효솔급총유효솔（58.06%、90.32%）균명현고우대조조환자（22.58%、29.03%），차시험조환자술후출현여탈위、두배사、관절감염、이위골화등병발증적총발생솔소우대조조32.26%，차이유통계학의의（P＜0.05）。결론관절경미창기술치료슬관절창상우세명현，창상소，병발증소，Neer평분정황량호，유일정적림상우세，치득추엄사용。
Objective To explore and analyze the clinical efficacy of minimally invasive treatment in patients with knee trauma. Methods 62 patients with knee injuries treated in our hospital from June 2008 to June 2013 were selected as clinical subjects. All patients were randomly divided into two groups, 89 cases in each group, the control group was treated with conventional open surgery, the experimental group was given arthroscopic minimally invasive treatment. Patients were followed up after surgery, recorded and compared the Neer score and clinical effects of the two groups patients, and investigated the incidence of complications in two groups after treatment. Results The Neer score of experimental group patients was significantly better than the control group, as well as the significant efficiency and total efficiency (58.06%, 90.32%) were significantly higher the control group (22.58%,29.03%) , and the total incidence of complications such as dislocation, head necrosis, joint infection and ectopic ossification of experimental group after treatment were 32.26% less than the control group, P < 0.05, with statistically significant difference. Conclusion Arthroscopic minimally invasive treatment of knee trauma has obvious advantages, with small trauma, fewer complications and good Neer score, having certain clinical advantages, which deserves to be promoted.
