摘要
目的探讨关节微创技术应用于膝骨关节骨创伤治疗中的临床意义,并评估该术式对并发症发生率的影响。方法选取2018年2月至2019年2月本院收治的80例膝骨关节骨创伤患者作为研究对象,依据随机数字表法分为对照组与观察组,各40例。对照组行传统切开复位内固定治疗,观察组行关节镜辅助微创术治疗。比较两组围手术期指标、临床疗效、并发症发生率及IL-6、IL-8水平。结果观察组膝关节功能优良率为95.0%,高于对照组的80.0%(P<0.05);观察组切口长度、手术时间、住院时间均短于对照组(P<0.05);观察组总有效率为95.0%,高于对照组的77.5%(P<0.05);观察组并发症发生率为5.0%,低于对照组的20.0%(P<0.05)。结论关节镜微创技术有助于改善膝骨关节骨创伤患者的临床症状,增强膝关节功能,且并发症较少,值得临床推广应用。
Objective To explore the clinical significance of minimally invasive joint technology in the treatment of genicular and articular trauma,and to evaluate the impact of this operation on the incidence of complications.Methods 80 patients with knee joint bone trauma admitted to our hospital from February 2018 to February 2019 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group received conventional open reduction and internal fixation,and the observation group received arthroscopy-assisted microsurgery.The perioperative indicators,clinical efficacy,incidence of complications and IL-6 and IL-8 levels were compared between the two groups.Results The good rate of knee joint function in the observation group was 95.0%,which was higher than 80.0%in the control group(P<0.05).The incision length,operation time and hospital stay in the observation group were lower than those in the control group(P<0.05).The total effective rate of the observation group was 95.0%,which was higher than 77.5%in the control group(P<0.05).The complication rate in observation group was 5.0%,which was lower than 20.0%in the control group(P<0.05).Conclusion Minimally invasive arthroscopy is helpful to improve the clinical symptoms and enhance the function of knee joint in patients with knee joint trauma,and less complications,it is worthy of clinical application.
作者
曾凡军
柯于华
ZENG Fanjun;KE Yuhua(Department of Orthopedics,Hubei Rongjun Hospital,Wuhan,Hubei,430000,China;Department of Surgery,Joint Logistic Support Force 902 Hospital,Bengbu,Anhui,223000,China)
出处
《当代医学》
2021年第25期30-32,共3页
Contemporary Medicine
关键词
关节镜
微创技术
膝关节
骨创伤
Arthroscopy
Minimally invasive technology
Knee joint
Bone trauma
