延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2014年
19期
58-60
,共3页
半月板损伤%关节镜%部分切除术%射频消融术
半月闆損傷%關節鏡%部分切除術%射頻消融術
반월판손상%관절경%부분절제술%사빈소융술
meniscal injury%Arthroscopy%Partial resection%Radiofrequency ablation
目的：：探讨和分析应用关节镜下部分切除术与射频消融术治疗半月板损伤的临床疗效及价值。方法：选取于2012年03月-2013年12月在我院接受治疗的半月板损伤患者116例为研究对象，依据患者临床接受治疗方案分成切除组和消融组，分别采取关节镜下部分切除术和射频消融术治疗，记录两组患者手术时间和术后14d 时膝关节积液量及并发症发生情况，随访0.5年-2年，分别于术前、术后7d 及随访期间应用 Lysholm 评分表对患者膝关节功能进行评分。结果：消融组60例患者手术平均时间、术后14d 膝关节积液量依次为（43.79±3.51）min 和（2.71±1.42）ml；较切除组（56.32±4.27）min 和（6.43±2.02） ml 明显少，对比差异均显著（P<0.05）；消融组术前、术后7d 及随访期间对膝关节功能行 Lysholm 评分依次为（70.98±2.56）、（86.74±2.41）和（94.63±2.02），而切除组分别为(71.21±2.49)、（80.45±2.38）和（89.67±2.46）；对比显示两组除术前 Lysholm 评分无差异外，另外两项对比均差异显著（P<0.05），有统计学意义。结论：对半月板损伤患者应用关节镜下射频消融术治疗，临床疗效更佳，更利于患者膝关节功能的恢复，可作为该病的主要治疗方案和选择。
目的：：探討和分析應用關節鏡下部分切除術與射頻消融術治療半月闆損傷的臨床療效及價值。方法：選取于2012年03月-2013年12月在我院接受治療的半月闆損傷患者116例為研究對象，依據患者臨床接受治療方案分成切除組和消融組，分彆採取關節鏡下部分切除術和射頻消融術治療，記錄兩組患者手術時間和術後14d 時膝關節積液量及併髮癥髮生情況，隨訪0.5年-2年，分彆于術前、術後7d 及隨訪期間應用 Lysholm 評分錶對患者膝關節功能進行評分。結果：消融組60例患者手術平均時間、術後14d 膝關節積液量依次為（43.79±3.51）min 和（2.71±1.42）ml；較切除組（56.32±4.27）min 和（6.43±2.02） ml 明顯少，對比差異均顯著（P<0.05）；消融組術前、術後7d 及隨訪期間對膝關節功能行 Lysholm 評分依次為（70.98±2.56）、（86.74±2.41）和（94.63±2.02），而切除組分彆為(71.21±2.49)、（80.45±2.38）和（89.67±2.46）；對比顯示兩組除術前 Lysholm 評分無差異外，另外兩項對比均差異顯著（P<0.05），有統計學意義。結論：對半月闆損傷患者應用關節鏡下射頻消融術治療，臨床療效更佳，更利于患者膝關節功能的恢複，可作為該病的主要治療方案和選擇。
목적：：탐토화분석응용관절경하부분절제술여사빈소융술치료반월판손상적림상료효급개치。방법：선취우2012년03월-2013년12월재아원접수치료적반월판손상환자116례위연구대상，의거환자림상접수치료방안분성절제조화소융조，분별채취관절경하부분절제술화사빈소융술치료，기록량조환자수술시간화술후14d 시슬관절적액량급병발증발생정황，수방0.5년-2년，분별우술전、술후7d 급수방기간응용 Lysholm 평분표대환자슬관절공능진행평분。결과：소융조60례환자수술평균시간、술후14d 슬관절적액량의차위（43.79±3.51）min 화（2.71±1.42）ml；교절제조（56.32±4.27）min 화（6.43±2.02） ml 명현소，대비차이균현저（P<0.05）；소융조술전、술후7d 급수방기간대슬관절공능행 Lysholm 평분의차위（70.98±2.56）、（86.74±2.41）화（94.63±2.02），이절제조분별위(71.21±2.49)、（80.45±2.38）화（89.67±2.46）；대비현시량조제술전 Lysholm 평분무차이외，령외량항대비균차이현저（P<0.05），유통계학의의。결론：대반월판손상환자응용관절경하사빈소융술치료，림상료효경가，경리우환자슬관절공능적회복，가작위해병적주요치료방안화선택。
Objectives To investigate and analyze the application of partial resection under arthroscopy’s and radiofrequency abla-tion’s effect and value for the treatment of meniscus injury. Methods We selected 116 patients with meniscus injury accepted by our hospital during March 2012 to December 2013 as the research object. Then based on the clinical treatment plan, we divided them into resection group and ablation group. Two groups respectively treated with partial resection and radiofrequency ablation under arthroscopy, then recorded two groups’operation time and the amount of knee joint effusion, as well as the complications 14d after the operation. We fol owed up the patients for 0.5 to 2 years, used Lysholm scale to judge patients’knee joint application. Results 60 cases in ablation group’s operation time was(43.79±3.51)min ,and their amount of knee joint effusion was(2.71±1.42)ml, while the ex-cision group was (56.32±4.27)min and (6.43±2.02)ml. The ablation group was obviously less, comparing differences were signifi-cantly (P < 0.05); Ablation group’s Lysholm score was(70.98±2.56)、(86.74±2.41)and(94.63±2.02)when before operation 、7d after operation and during the follow-up time, while the resection group was (71.21±2.49)、(80.45±2.38)and(89.67±2.46); Com-parison showed that except the Lysholm scoring had no difference in both groups before operation, but two other contrast were signifi-cant difference (P < 0.05), with statistical significance. Conclusions Apply radiofrequency ablation under arthroscopy in patients with meniscus injury treatment, the clinical curative effect is better, more conducive to the recovery of patients with knee joint function, can be used as the main treatment of the disease and choice.
