摘要
目的了解对老年膝关节软骨损伤患者用关节镜微骨折术治疗的临床效果。方法取医院骨科2016年10月至2018年10月收治拟用手术治疗的老年膝关节软骨损伤患者112例为分析对象,根据对患者手术治疗方案差异将其每组56例分为对照组与观察组,对应为关节镜下关节清除术、关节镜微骨折术治疗,对两组患者手术治疗效果及安全性进行记录并用统计学软件处理以归纳关节镜微骨折术的临床价值。结果在疗效方面,对照组患者有效率为76.8%,观察组患者有效率为96.4%,差异存在统计学意义(P<0.05);术后随访中观察组患者发生手术相关不良反应例数显著低于对照组且差异存在统计学意义(P<0.05)。结论对老年膝关节软骨损伤患者在选手术治疗方案时可考虑关节镜微骨折术,高效安全,值得推广。
Objective To understand the clinical effect of arthroscopic microfracture in elderly patients with knee joint cartilage injury.Methods A total of 112 elderly patients with knee joint cartilage injury who were treated with surgery were enrolled in the Department of Orthopaedics of the hospital from October 2016 to October 2018.According to the differences in surgical treatment options,56 patients in each group were divided into two groups.The control group and the observation group were treated with arthroscopic arthroplasty and arthroscopic microfracture.The surgical treatment and safety of the two groups were recorded and statistical software was used to summarize the clinical value of arthroscopic microfracture.Results In terms of efficacy,the effective rate was 76.8%in the control group and 96.4%in the observation group.The difference was statistically significant(P<0.05).There were significant cases of surgical-related adverse reactions in the observation group during the follow-up.The difference was statistically significant(P<0.05).Conclusion For patients with knee joint cartilage injury in the elderly,arthroscopic microfracture can be considered when selecting surgical treatment.It is efficient and safe and worth promoting.
作者
李大伟
LI Da-wei(Beihai Hospital of Yantai,Yantai,Shandong 265701)
出处
《智慧健康》
2020年第1期151-152,共2页
Smart Healthcare
关键词
关节镜微骨折术
老年膝关节软骨损伤
临床疗效
Arthroscopy microfracture
Elderly knee cartilage injury
Clinical efficacy
