不同方案治疗单纯髌内侧滑膜皱襞综合征的疗效差异

发布时间：2018-03-10 03:38

本文选题：髌内侧滑膜皱襞综合征　切入点：物理治疗　出处：《中国内镜杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的对比及分析单纯髌内侧滑膜皱襞综合征在不同方案治疗下的疗效差异。方法所取病例来自该院2011年1月-2015年1月诊断为单纯单侧髌内侧滑膜皱襞综合征的患者,共计147例。根据治疗方法不同,将其分成A、B、C组,每组49例;根据年龄差异,各组内又分为青年及中老年组。A组采用药物及物理治疗;B组则定期行关节腔内注射治疗;C组采用关节镜手术治疗。所有患者治疗前及随访时均采用膝关节Lysholm评分进行评估,并进行统计学分析。结果所有患者均获得平均11个月(9~13个月)随访,无神经血管损伤及感染发生。治疗前,A、B、C 3组组间的Lysholm评分的差异无统计学意义(F=0.08,P=0.926)。治疗后,A、B、C 3组末次随访的组间的Lysholm评分差异具有统计学意义(F=15.48,P=0.001)。A、B、C 3组治疗后Lysholm评分比治疗前均有提高,差异具有统计学意义(t_A=3.43,t_B=6.74,t_C=7.99,均P=0.001)。在Lysholm评分变化幅度中,C组B组A组(F=66.43,t_(AB)=5.97,t_(AC)=11.52,t_(BC)=5.55,均P=0.001),总体青年组大于总体中老年组(t=7.91,P=0.001),差异具有统计学意义。结论在单纯髌内侧皱襞综合征的治疗中,手术治疗方案效果最好。在中老年患者治疗上,需要在治疗前充分沟通,告知其疗效不佳可能。
[Abstract]:Objective to compare and analyze the curative effect of simple medial patellar synovial plica syndrome under different treatments. Methods the patients were diagnosed as unilateral medial patellar synovial fold syndrome from January 2011 to January 2015 in our hospital. A total of 147 cases were divided into two groups, 49 cases in each group, according to the different treatment methods, according to the age difference, Each group was divided into young and middle-aged group. Group A was treated with drugs and physical therapy. Group B was treated with arthroscopic surgery regularly. All patients were evaluated with knee joint Lysholm score before and after treatment. Results all the patients were followed up for an average of 11 months to 13 months. There was no neurovascular injury and infection. There was no significant difference in Lysholm score between group A and group C 3 before treatment. There was no significant difference in Lysholm score between group C and group C after treatment. There was significant difference in Lysholm score between group C and group C after treatment. There was significant difference in Lysholm score between group C and group C after treatment. It was higher than before treatment. The difference was statistically significant (P < 0.01). In the range of Lysholm score changes in group C, group B, group B, group A, F66.43, and group A, group A, F66.43, respectively. There is a significant difference between the two groups. Conclusion in the treatment of simple medial patellar fold syndrome, the difference is statistically significant, and the total young group is larger than that of the whole middle-aged and elderly group in the treatment of simple medial patellar fold syndrome, and the difference is significant in the treatment of simple patellar medial plica plica, and the difference is statistically significant in the whole young group than in the whole middle-aged and old group, and the difference is statistically significant in the treatment of patients with simple medial patellar fold syndrome, and the difference is statistically significant in the whole young group than in the elderly group, and the difference is significant in the treatment of simple medial patellar fold syndrome, and the difference is statistically significant. Surgical treatment is the best. In the treatment of middle-aged and elderly patients, it is necessary to communicate well before treatment to inform them of the possibility of poor curative effect.
【作者单位】：湖南师范大学第一附属医院关节与运动医学科;
【基金】：湖南省科技厅重点研发计划-社发支撑领域(No:2015SK2047-1) 重庆市博士后科研项目特别资助项目(No:Xm2016052) 湖南师范大学临床医学院仁术科研发展基金资助项目(No:2015-15)
【分类号】：R687.4

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