摘要
目的:膝关节镜辅助在膝关节周围骨折微创治疗中的应用。方法:选取2021年6月至2022年6月期间医治膝关节周围骨折患者70例作为此次研究对象,根据治疗方法不同分组如下:常规组(共35例)采取传统治疗,实验组(共35例)采取膝关节镜辅助治疗。对比两组患者手术前后关节各项评分,随后对比两组患者治疗前后应激水平,最后统计两组患者术后的并发症。结果:术前两组患者关节功能评分对比存在均衡(P>0.05);术两组患者各项数据均优于治疗前,且实验组比常规组更优(P<0.05)。术后两组患者EF-1、NPY水平显著降低(P<0.05,CGRP均升高(P<0.05),且实验组EF-1、NPY水平相较于常规组显著下降,CGRP相较于常规组显示上升;术后两周患者IL-6、CRP、TNF-a相较于治疗前显著下降,且上述指标实验组下降幅度更大(P<0.05)。并发症情况对比,实验组切口感染、骨性关节炎、血肿发生率均低于常规组(P<0.05)。结论:对膝关节周围骨折患者采取膝关节镜辅助微创治疗可提高其膝关节功能恢复正常水平,降低应激水平,值得临床进一步应用。
Objective:The application of kNee arthroscopy in the minimally invasive treatment of peri kNee fractures.Methods:70 patients with peri kNee fractures who were treated from June 2021 to June 2022 were selected as the subjects of this study.According to the different treatment methods,they were divided into the following groups:the conventional group(35 cases in total)was treated with traditional treatment,and the experimental group(35 cases in total)was treated with kNee arthroscopy.Compare the scores of the joints of the two groups before and after surgery,then compare the stress levels of the two groups before and after treatment,and finally count the postoperative complications of the two groups.Results:The scores of joint function in the two groups were balanced before operation(P>0.05);All data of the two groups were better than before treatment,and the experimental group was better than the conventional group(P<0.05).After operation,the levels of EF-1 and NPY in the two groups decreased significantly(P<0.05),and CGRP increased(P<0.05).The levels of EF-1 and NPY in the experimental group decreased significantly compared with those in the conventional group,and CGRP increased compared with those in the conventional group;Two weeks after operation,the levels of IL-6,CRP and TNF-a in patients decreased significantly compared with those before treatment,and the above indicators in the experimental group decreased more significantly(P<0.05).The incidence of wound infection,osteoarthritis and hematoma in the experimental group was lower than that in the conventional group(P<0.05).Conclusion:The kNee arthroscope assisted minimally invasive treatment for patients with peri kNee fractures can improve their kNee function to return to normal level and reduce the stress level,which is worthy of further clinical application.
作者
吕松
魏丽丽
魏丽双
Lv Song;Wei Lili;Wei Lishuang(Tangshan Third Hospital(Orthopedic Rehabilitaton Departnent),063100;Kailuan Geneal Hospital Linsi Hospital,063100)
出处
《中华骨与关节外科杂志》
CSCD
2023年第S01期64-65,共2页
Chinese Journal of Bone and Joint Surgery
基金
膝关节内肿瘤性疾病的微创治疗,项目编号:191256-4。
关键词
膝关节周围骨折
膝关节镜辅助
微创治疗
效果
Fracture around kNee joint
KNee arthroscope assistance
Minimally invasive treatment
effect
