创伤性及退变性半月板损伤关节镜术后疗效的回顾性研究

发布时间：2018-03-06 21:34

本文选题：创伤性　切入点：退变性　出处：《东南大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：观察针对不同类型半月板损伤(外伤性和退变性)关节镜手术治疗的中长期疗效,进而为临床治疗方案的选择提供一定的参考依据。方法：通过医院的电子病历系统,采集2010年1月-2013年12月间在我院骨科行关节镜手术治疗且资料齐全的117例半月板损伤患者,将患者按照损伤机制分为两组,T为创伤组,NT为退变组。每组人数按照随访时间再设计2个亚组,分别在1年±3月和在4年±3月随访时间。所有患者是通过电话和门诊复诊的时候随访的。Lysholm评分及Rand SF-36评分被用来评估患者的术后疗效。结果：创伤组T有60例(51.28%)患者,非创伤组NT有57例(48.71%)患者。95例(81.19%)患者对自己的健康状况非常满意。在随访时间为1年±3月的患者中,T组患者的平均Lysholm评分为85.25±8.78；而NT组患者的平均Lysholm评分为86.38±12.14(p=0.7726)。在4年±3月随访时间的患者中,T组患者的平均Lysholm评分为92.63±7.31；而NT组患者的平均Lysholm评分为72.90±20.77(p0.0001)。T组SF-36所有项目存在统计学意义(p0.05)而在NT组只有VT和MT两个项目有统计学意义,说明根据Rand SF-36评分结果,当比较术后1年组和术后4年组之间的疗效时,可发现外伤组T比较退变组NT表现出更好的改善。结论：95例(81.19%)患者对自己的健康状况非常满意,然而,关节镜手术对创伤性半月板损伤患者比较退变性半月板损伤患者具有更好的中期效果。
[Abstract]:Objective: to observe the long-term curative effect of arthroscopic treatment for different meniscus injuries (traumatic and degenerative), and to provide some reference for clinical treatment. From January 2010 to December 2013, 117 patients with meniscus injury underwent arthroscopic treatment in our hospital. According to the injury mechanism, the patients were divided into two groups: the trauma group was the trauma group and the NT group was the degenerative group, and two subgroups were designed according to the follow-up time. The follow-up time was 1 year 卤March and 4 years 卤March, respectively. All the patients were followed up by telephone and outpatient visits. The. Lysholm score and Rand SF-36 score were used to evaluate the postoperative outcome. Results: there were 60 patients in the trauma group. There were 57 cases of NT in the non-traumatic group (n = 57). 95 patients (81.19) were very satisfied with their health. The mean Lysholm score of the T group and NT group was 85.25 卤8.78 and 86.38 卤12.14p0.77260.The mean Lysholm score of the T group was 85.25 卤8.78, while that of the NT group was 86.38 卤12.14p0.77260.In the follow-up period of 1 year 卤March, the average Lysholm score of the T group was 85.25 卤8.78. The mean Lysholm score of T group and NT group were 92.63 卤7.31 and 72.90 卤20.77p0.0001n.T, respectively, and there were significant differences between NT group and NT group (P < 0.05). It shows that according to the Rand SF-36 score, when comparing the curative effect between the 1 year group and the 4 year group, it can be found that the trauma group T shows better improvement than that of the degenerative group NT. Conclusion 95 cases of patients with brain injury were satisfied with their health status, however, Arthroscopic surgery is more effective than degenerative meniscus injury in patients with traumatic meniscus injury.
【学位授予单位】：东南大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.4

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