关节镜治疗膝关节盘状半月板损伤临床疗效及术后疼痛危险因素分析.doc

关节镜治疗膝关节盘状半月板损伤临床疗效及术后疼痛危险因素分析 　　[摘要] 目的 探讨膝关节盘状半月板损伤应用关节镜治疗的效果及术后疼痛的危险因素。 方法 收集2015年7月～2016年9月我院治疗的膝关节盘状半月板损伤患者106例，按不同术式分为观察组（采取关节镜下半月板成形术，n=68）和对照组（采取半月板次全切术，n=38），比较两组的手术效果，并根据患者的术后情况将患者分为无痛组和疼痛组，分析术后疼痛的危险因素。 结果 两种手术疗效比较无明显差异（P0.05），而术后疼痛危险因素包括冷敷、关节软骨损伤、负重时间、平均年龄；无痛组术后Lyscholm评分显著高于疼痛组（P0.05）。 结论 膝关节盘状半月板损伤患者应用关节镜治疗，可取得理想的疗效，而冷敷、软骨损伤等是患者术后疼痛发生的危险因素 [关键词] 半月板；膝关节；关节镜；疼痛；危险因素 [中图分类号] R684.76 [文献标识码] B [文章编号] 1673-9701（2017）08-0083-03 [Abstract] Objective To explore the effect of arthroscopy in the treatment of knee joint discoid meniscus injury and the risk factors of postoperative pain. Methods A total of 106 patients with knee joint discoid meniscus injury who were given the treatment in our hospital from July 2015 to September 2016 were collected and enrolled in this study. The patients were divided into the observation group（arthroscopic meniscus angioplasty， n=68） and the control group （subtotal resection of meniscus，n=38） according to different surgical procedures. The surgical effect was analyzed between two groups. According to the postoperative conditions， the patients were divided into the painless group and pain group. The risk factors of postoperative pain were analyzed. Results There were no significant differences in the curative effect between the two surgeries（P0.05）. The postoperative risk factors of pain included cold compress， articular cartilage injury， weight-bearing time and mean age； Lyscholm score after the surgery was significantly higher in the painless group than in the pain group（P0.05）. Conclusion Arthroscopy in the treatment of knee joint discoid meniscus injury can achieve the desired effect， and cold compress and cartilage injury are the risk factors of postoperative pain. [Key words] Meniscus； Knee joint； Arthroscopy； Pain； Risk factors ?P状半月板损伤是膝关节常见疾病之一， 盘状半月板临床上又称为盘状软骨，其发病因素至今尚未明了，其形态特征表现为体部增厚，膝关节内部正常结构被改变，与正常半月板相比，其在收缩、卷曲变形方面的能力较差[1]，因而，受到外力作用时易出现损伤，甚至发生撕裂现象，从而对患者的关节功能造成影响，影响人们的正常生活。目前，临床上针对膝关节盘状半月板损伤主要采用关节镜治疗，以达到