CAJ | 학술논문

目的：通过膝关节损伤关节镜术前、术后不同时间点对膝关节功能恢复情况检查结果的比较，了解股四头肌绝对肌力锻炼对于滑膜炎术后功能恢复的作用。方法将关节镜诊断结果作为金标准验证修订的军事训练中膝关节创伤性滑膜炎的诊断标准的敏感度、特异性及符合率。将最终确诊的38例创伤性滑膜炎患者随机分为试验组和对照组，试验组术后即开始股四头肌绝对肌力锻炼，比较不同时间点两组之间膝关节功能恢复情况。结果修订的军事训练所致膝关节创伤性滑膜炎诊断标准的敏感度为90．9％，特异性为81．0％，符合率为85．3％，膝关节创伤性滑膜炎术后膝关节Lysholm评分、VAS评分均显著改善；术后3周，试验组大腿围度差值较对照组明显减少；术后3个月，试验组膝关节Lysholm评分、VAS评分、大腿围度差值与对照组比较差异均有统计学意义。结论修订的军事训练中膝关节创伤性滑膜炎的诊断方法有很高的敏感度、特异性及符合率，具有很高的实用价值。股四头肌绝对肌力的锻炼对于创伤性滑膜炎术后功能恢复具有显著的效果。
목적：통과슬관절손상관절경술전、술후불동시간점대슬관절공능회복정황검사결과적비교，료해고사두기절대기력단련대우활막염술후공능회복적작용。방법장관절경진단결과작위금표준험증수정적군사훈련중슬관절창상성활막염적진단표준적민감도、특이성급부합솔。장최종학진적38례창상성활막염환자수궤분위시험조화대조조，시험조술후즉개시고사두기절대기력단련，비교불동시간점량조지간슬관절공능회복정황。결과수정적군사훈련소치슬관절창상성활막염진단표준적민감도위90．9％，특이성위81．0％，부합솔위85．3％，슬관절창상성활막염술후슬관절Lysholm평분、VAS평분균현저개선；술후3주，시험조대퇴위도차치교대조조명현감소；술후3개월，시험조슬관절Lysholm평분、VAS평분、대퇴위도차치여대조조비교차이균유통계학의의。결론수정적군사훈련중슬관절창상성활막염적진단방법유흔고적민감도、특이성급부합솔，구유흔고적실용개치。고사두기절대기력적단련대우창상성활막염술후공능회복구유현저적효과。
Objective By comparing the knee function recovery at different time points of pre-operation and post-operation to understand the effect of quadriceps training palyed on knee function recovery post-operation. Methods Using the arthroscopy diagnosis result as a gold criteria the sensitivity,specificity,and coincidence of the traumatic synovitis diagnosis standard in military training was revised. The 38 patients eventually confirmed as traumatic synovitis were randomly separated into trial group and control group. Quadriceps training was performed at postoperation in trial group;the recovery of the knee function of two groups at different time-points was compared. Results The sensitivity of the revised diagnosis standard of knee joint traumatic synovitis caused by military training was 90.9% ,the specificity of it was 81.0% ,and the coincidence rate was 85.3%. The postoperative Lysholm score and VAS score were obviously improved. Three weeks after operation the thigh circumference difference of trial group was much lower than that of control group. Significant statistical differences were found in Lysholm score,VAS score and degree of thigh circumference between two groups. Conclusion The revised diagnosis standard of knee joint traumatic synovitis caused by military training which has high sensitivity , specificity and coincidence rate is of high practical value. Quadriceps training plays significant effect for the knee function recovery after the operation.