CAJ | 학술논문

目的研究微骨折术联合玻璃酸钠注射修复膝关节软骨损伤患者的治疗效果,分析关节镜下软骨损伤Outerbridge不同分级、软骨损伤患者有无合并半月板损伤、有无合并内侧滑膜皱襞对治疗效果的影响.方法收集2011年4月至2012年1月在合肥市第三人民医院关节镜手术治疗的40例膝关节软骨损伤患者,其中外伤导致的软骨损伤为9例,骨性关节炎导致的软骨损伤为31例.Outerbridge不同分级分成三组,每组间手术前后膝关节功能Lysholm得分；有无合并半月板损伤手术前后膝关节功能Lysholm得分；有无合并内侧滑膜皱襞手术前后膝关节功能Lysholm得分比较均采用两样本均数t检验.40例膝关节软骨损伤患者手术前后膝关节功能Lysholm得分比较采用两样本均数t检验.结果纳入研究的40例膝关节软骨损伤患者均进入结果分析,统计结果在随访第3个月:①Outerbridge不同分级分成三组；每组间手术前后膝关节功能Lysholm得分比较差异有统计学意义(P＜0.05).②有无合并半月板损伤手术前后膝关节功能Lysholm得分比较差异有统计学意义(P＜0.05).③有无合并内侧滑膜皱襞手术前后膝关节功能Lysholm得分比较差异有统计学意义(P＜0.05).④40例膝关节软骨损伤患者手术前后膝关节功能Lysholm得分比较差异有统计学意义(P＜0.05).结论微骨折术联合玻璃酸钠注射修复膝关节软骨损伤取得满意的治疗效果.膝关节软骨损伤患者如果合并半月板损伤及滑膜皱襞形成影响治疗效果；膝关节软骨损伤Outerbridge不同分级同样影响治疗效果.因此术中准确处理半月板损伤及内侧滑膜皱襞至关重要.
목적 연구미골절술연합파리산납주사수복슬관절연골손상환자적치료효과,분석관절경하연골손상Outerbridge불동분급、연골손상환자유무합병반월판손상、유무합병내측활막추벽대치료효과적영향.방법 수집2011년4월지2012년1월재합비시제삼인민의원관절경수술치료적40례슬관절연골손상환자,기중외상도치적연골손상위9례,골성관절염도치적연골손상위31례.Outerbridge불동분급분성삼조,매조간수술전후슬관절공능Lysholm득분；유무합병반월판손상수술전후슬관절공능Lysholm득분；유무합병내측활막추벽수술전후슬관절공능Lysholm득분비교균채용량양본균수t검험.40례슬관절연골손상환자수술전후슬관절공능Lysholm득분비교채용량양본균수t검험.결과 납입연구적40례슬관절연골손상환자균진입결과분석,통계결과재수방제3개월:①Outerbridge불동분급분성삼조；매조간수술전후슬관절공능Lysholm득분비교차이유통계학의의(P＜0.05).②유무합병반월판손상수술전후슬관절공능Lysholm득분비교차이유통계학의의(P＜0.05).③유무합병내측활막추벽수술전후슬관절공능Lysholm득분비교차이유통계학의의(P＜0.05).④40례슬관절연골손상환자수술전후슬관절공능Lysholm득분비교차이유통계학의의(P＜0.05).결론 미골절술연합파리산납주사수복슬관절연골손상취득만의적치료효과.슬관절연골손상환자여과합병반월판손상급활막추벽형성영향치료효과；슬관절연골손상Outerbridge불동분급동양영향치료효과.인차술중준학처리반월판손상급내측활막추벽지관중요.
Objective To research microfracture surgery combined with sodium hyahuronate injection repair knee cartilage injury patient outcomes,and analyse arthroscopic cartilage damage outerbridge grading cartilage damage in patients with or without a merger meniscus injury,whether the merger withinthe sideslip film folds of the treatment effect.Methods To select forty patients with knee cartilage damage who accepted arthroscopic surgery treatment in the third people' s hospital of hefei from april 2011 to January 2012,the trauma caused by cartilage damage in 9 cases,cartilage damage caused by arthritis in 31 cases.Divided them into three groups based on outerbridge different grade.Using two sample t-test to test knee function Lysholm score between each group before and after surgery,the knee function lysholm score before and after whether combined with the merger meniscus injury surgery,knee function Lysholm score before and after whether the merger medial synovial plica surgery and knee function Lysholm score before and after surgery in 40 cases of knee cartilage dmage used two sample t-test to compare.Results Knee cartilage injury patients included in the study,40 patients were involved in the result analysis,statistical results in the first three months of follow-up:①There had significant differences with knee function Lysholm score before and after surgery between each group (P ＜0.05).②The knee function Lysholm scores were significant different before and after whether combined with the merger meniscus injury surgery (P ＜ 0.05).③There had significant differences with the knee function Lysholm score before and after whether the merger medial synovial plica surgery (P ＜ 0.05).④The differences of knee function Lysholm score before and after surgery in 40 cases of knee cartilage damage patients was statistically significant(P ＜ 0.05).Conclusions It would be receive a satisfactory therapeutic effect of micro fracture surgery combined with sodium hyaluronate injection on repairing knee cartilage damage.Knee cartilage injury merger meniscus injury and synovial plica formation affect treatment effect.Knee cartilage injury outerbridge classification would affect the therapeutic effect also.Therefore,it' s very important to treat the merger meniscus injury and medial synovial plica surgery.