关节镜治疗膝关节半月板损伤对患者Lysholm评分影响分析

高澎

DOI：10.16662/j.cnki.1674-0742.2017.23.066

[摘要] 目的 分析膝关节半月板损伤患者临床应用关节镜手术治疗对患者Lysholm评分的影响。 方法 方便选取2015年1月—2016年12月该院收治的55例膝关节半月板损伤患者，入院后均给予关节镜手术治疗，分析比较患者手术前后的Lysholm评分变化，观察其临床疗效。结果 该组患者经关节镜手术治疗后的Lysholm膝关节总评分及各项目评分均显著优于手术前，差异有统计学意义（P<0.05）。经手术治疗后32例患者疗效为优，良20例，总优良率为94.55%。结论 关节镜手术应用于膝关节半月板损伤患者治疗，能够有效缓解患者临床症状，改善患者的Lysholm评分，提高临床疗效，改善患者生活质量。

[关键词] 关节镜手术；Lysholm评分；半月板损伤；治疗效果

[中图分类号] R687.4 [文献标识码] A [文章编号] 1674-0742（2017）08（b）-0066-03

Analysis of Arthroscopy Treating Meniscus Injury of Knee Joint on Lysholm Score of Patients

GAO Peng

Department of Orthopedics， the Second Hospital of Xuzhou Coal Mining Group， Xuzhou， Jiangsu Province， 221011 China

[Abstracts] Objective This paper tries to analyze the influence of arthroscopy treating meniscus injury of knee joint on lysholm score of patients. Methods 55 patients with meniscus injury of knee joint treated in this hospital from January 2015 to December 2016 were convenient selected and treated with arthroscopy. Lysholm score of patients before and after operation were analyzed and compared. The clinical efficacy was observed. Results Lysholm score and other scores of the patients after operation was evidently better than that before operation， which had statistical significance （P<0.05）. After treatment， the efficacy of 32 patients was excellent， and that of 20 cases was good. The total excellent and good rate was 94.55%. Conclusion Applying arthroscopy to treat meniscus injury of knee joint not only can effectively relieve the clinical symptoms and improve lysholm score of patients， but also can improve the clinical efficacy and improve the life quality of patients.

[Key words] Arthroscopy； Lysholm score； Meniscus injury of knee joint； Treatment effect

半月板損伤是临床常见膝关节疾病之一，在青少年群体中较为常见，且近年来膝关节半月板损伤患者数量具有逐年上升趋势，从而给患者生活质量造成极大影响。对于膝关节半月板损伤临床常用开放手术治疗，但是传统开放手术给患者造成的创伤较大，手术时间长，切口长，术后并发症较多，不利于患者术后恢复[1]。随着关节镜技术的不断发展，关节镜手术在膝关节半月板损伤治疗中的应用也受到更多关注，为了解膝关节半月板损伤应用关节镜手术治疗的效果，该文选取了该院2015年1月—2016年12月收治的55例膝关节半月板损伤患者展开研究，取得了较好的效果，现报道如下。

1 资料与方法

1.1 一般资料

在该院治疗的膝关节半月板损伤患者中方便选取55例，所有患者入院后均经MRI检查确诊为膝关节半月板损伤，排除心、肝、肾等重要脏器疾病或恶性肿瘤患者。其中男性患者30例，女性患者25例；年龄为20～63岁，平均年龄（39.8±6.2）岁。……