膝关节盘状半月板损伤关节镜治疗的疗效及术后疼痛的影响因素分析

目的:探讨膝关节盘状半月板损伤关节镜治疗的疗效及术后疼痛的影响因素。方法:选择82例盘状半月板损伤患者,均接受关节镜手术治疗,术后1年根据Ikeuchi膝关节评价等级评价疗效,分析术后疼痛影响因素。结果:82例患者中疗效为优46例(56.10%),良28例(34.15%),可7例(8.54%),差1例(1.22%),疗效优良率为90.24%。将74例术后疗效优良者纳入无疼痛组,余8例患者纳入疼痛组,两组患者比较在性别、体质量指数、Watanabe分型、手术方式比较差异无统计学意义(P>0.05);但疼痛组患者年龄、术前症状时间及术后负重时间≤1周的比例大于无疼痛组,差异有统计学意义(P<0.05)。结论:关节镜治疗膝关节盘状半月板损伤具有确切的临床疗效,患者年龄、术前症状持续时间及术后负重时间与术后疼痛有关。

The effect of arthroscopic treatment of meniscus injury of knee joint and analysis of the influencing factors of postoperative pain

Objective:To investigate the effect of arthroscopic treatment of meniscus injury of knee joint and the influence fac-tors of postoperative pain.Methods:82 cases of patients with meniscus injury of knee joint were studied,after one year,the curative effect was evaluated according to Ikeuchi knee evaluation grade,and the influencing factors of postoperative pain were analyzed.Re-sults:In all of the 82 patients,46 cases (56.10%)were excellent,28 cases (34.15%)were good,7 cases (8.54%)were common,1 case(1.22%)was poor,the excellent and good rate was 90.24%.74 patients with excellent and good postoperative efficacy were in-cluded into the non pain group,the other 8 cases were included into the pain group,there was no statistical difference between the two groups in gender,body mass index,Watanabe typing,and surgical typing (P>0.05 ).However,the rate of age,preoperative symptom duration and proportion of postoperative weight-bearing time<1 week in the pain group were higher than these in the non pain group, the difference was statistically significant (P<0.05).Conclusion:Arthroscopic treatment in the meniscus injury of knee joint has ex-act clinical curative effect,the patient’s age,duration of preoperative symptoms and the weight bearing time were related to the pain af-ter surgery.