关节镜下治疗粘连僵直型膝关节僵硬的效果分析(1)
【摘要】 目的：探讨关节镜下微创治疗粘连僵直型膝关节僵硬的临床效果。方法：回顾性分析2016年3月-2017年4月本科室收治的粘连僵直型膝关节僵硬患者21例临床资料，将患者按照手术方式不同分为对照组(n=10，开放手术)与观察组(n=11，关节镜微创手术)，比较两组患者术后膝关节屈伸角度、术后出血量、VAS评分、Lysholm膝关节评分、切口愈合情况。结果：观察组术后屈伸角度大于对照组，差异有统计学意义(P<0.05)；观察组术后出血量少于对照组，差异有统计学意义(P<0.05)；观察组术后VAS评分低于对照组，差异有统计学意义(P<0.05)。末次随访时，观察组的Lysholm膝关节评分高于对照组，差异有统计学意义(P<0.05)；两组患者切口愈合均一期甲级愈合，比较差异无统计学意义(P>0.05)。结论：关节镜微创治疗粘连僵直型膝关节僵硬的临床效果好，具有出血少、疼痛轻、创伤小等优点。
【关键词】 关节镜； 粘连； 膝关节僵硬
Effect Analysis of Arthroscopic Treatment of Adhesion and Stiffness of Knee Joint/LIU Yi’ning，LIU Lichun，LI Xiaobin，et al.//Medical Innovation of China，2018，15(06)：068-071
【Abstract】 Objective：To investigate the clinical effect of arthroscopic minimally invasive treatment of adhesion and stiffness of knee joint.Method：Retrospectively analyze the clinical data of 21 patients who were diagnosed with adhesive rigor knee stiffness from March 2016 to April 2017，the patients were divided into control group (n=10，open operation) and observation group(n=11，arthroscopic minimally invasive operation)，the knee joint flexion and extension angle，postoperative bleeding volume，VAS score，Lysholm knee joint score and wound healing were compared between the two groups.Result：After operation，the angle of flexion and extension in the observation group was higher than that in the control group，the difference was statistically significant(P<0.05)；the amount of postoperative bleeding in the observation group was less than that in the control group，the difference was statistically significant(P<0.05)；the VAS score of postoperative in the observation group was lower than that in the control group，the difference was statistically significant (P<0.05).At the last follow-up，the Lysholm knee score in the observation group was higher than that in the control group，the difference was statistically significant(P<0.05).There was no significant difference in healing between the two groups(P>0.05).Conclusion：Arthroscopic minimally invasive treatment of adhesion and stiffness of knee joint stiffness has the advantages of less bleeding，less pain，less trauma，less complications.
【Key words】 Arthroscopy； Adhesion； Knee stiffness
First-author’s address：Meizhou Hospital of Traditional Chinese Medicine，Meizhou 514071，China
doi：10.3969/j.issn.1674-4985.2018.06.019
膝關节粘连僵直是膝关节及关节周围严重创伤及手术后的严重并发症，是骨科临床的一个难题，经不完全统计该并发症的发生率高达80%[1-2]，对于膝关节僵硬的治疗方法，目前据文献报告有传统开放手术、关节镜辅助下联合小切口松解、中药熏蒸联合康复手法治疗、针刺治疗等[3-4]。开放性手术松解，手术创伤较大，发生再粘连机会较高，而中药熏蒸联合康复手法治疗或针刺治疗对晚期、粘连僵直的效果一般，本文旨在探讨关节镜对膝关节粘连僵直型的松解治疗效果，今为总结临床疗效，回顾性分析2016年3月-2017年4月本科室收治的采用关节镜手术和开放手术治疗的粘连僵直型膝关节僵硬患者21例临床资料，现报告如下。, 百拇医药(刘奕宁 刘利春 李晓彬 郭建邦 梁立国)
【关键词】 关节镜； 粘连； 膝关节僵硬
Effect Analysis of Arthroscopic Treatment of Adhesion and Stiffness of Knee Joint/LIU Yi’ning，LIU Lichun，LI Xiaobin，et al.//Medical Innovation of China，2018，15(06)：068-071
【Abstract】 Objective：To investigate the clinical effect of arthroscopic minimally invasive treatment of adhesion and stiffness of knee joint.Method：Retrospectively analyze the clinical data of 21 patients who were diagnosed with adhesive rigor knee stiffness from March 2016 to April 2017，the patients were divided into control group (n=10，open operation) and observation group(n=11，arthroscopic minimally invasive operation)，the knee joint flexion and extension angle，postoperative bleeding volume，VAS score，Lysholm knee joint score and wound healing were compared between the two groups.Result：After operation，the angle of flexion and extension in the observation group was higher than that in the control group，the difference was statistically significant(P<0.05)；the amount of postoperative bleeding in the observation group was less than that in the control group，the difference was statistically significant(P<0.05)；the VAS score of postoperative in the observation group was lower than that in the control group，the difference was statistically significant (P<0.05).At the last follow-up，the Lysholm knee score in the observation group was higher than that in the control group，the difference was statistically significant(P<0.05).There was no significant difference in healing between the two groups(P>0.05).Conclusion：Arthroscopic minimally invasive treatment of adhesion and stiffness of knee joint stiffness has the advantages of less bleeding，less pain，less trauma，less complications.
【Key words】 Arthroscopy； Adhesion； Knee stiffness
First-author’s address：Meizhou Hospital of Traditional Chinese Medicine，Meizhou 514071，China
doi：10.3969/j.issn.1674-4985.2018.06.019
膝關节粘连僵直是膝关节及关节周围严重创伤及手术后的严重并发症，是骨科临床的一个难题，经不完全统计该并发症的发生率高达80%[1-2]，对于膝关节僵硬的治疗方法，目前据文献报告有传统开放手术、关节镜辅助下联合小切口松解、中药熏蒸联合康复手法治疗、针刺治疗等[3-4]。开放性手术松解，手术创伤较大，发生再粘连机会较高，而中药熏蒸联合康复手法治疗或针刺治疗对晚期、粘连僵直的效果一般，本文旨在探讨关节镜对膝关节粘连僵直型的松解治疗效果，今为总结临床疗效，回顾性分析2016年3月-2017年4月本科室收治的采用关节镜手术和开放手术治疗的粘连僵直型膝关节僵硬患者21例临床资料，现报告如下。, 百拇医药(刘奕宁 刘利春 李晓彬 郭建邦 梁立国)