关节镜联合微创切口治疗膝关节脱位合并多韧带损伤的临床效果

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摘要目的探讨关节镜联合微创切口治疗膝关节脱位合并多韧带损伤的临床效果。方法选取2017年1月～2019年1月我院收治的60 例膝关节脱位合并多韧带损伤的患者作为研究对象，按照抓阄方法分为观察组（30 例）和对照组（30 例）。对照组患者采用常规骨科手术治疗，观察组患者采用关节镜联合微创切口手术治疗。比较两组患者的治疗效果、膝关节功能的恢复时间及并发症的发生情况。结果观察组患者的治疗总有效率高于对照组，差异有统计学意义（P＜0.05）；观察组患者的膝关节功能恢复时间短于对照组，差异有统计学意义（P＜0.05）；观察组患者的并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论关节镜联合微创切口治疗膝关节脱位合并多韧带损伤的临床效果更佳，能够有效提高治疗效果，缩短患者的恢复时间，且并发症发生率较低。

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	李正南
	王一海
	杨康骅
	罗志环
	蔡幸健
	朱道信
	肖诗梁

关键词 ：关节镜, 微创切口, 膝关节脱位, 多韧带损伤, 临床效果

Abstract：Objective To investigate the clinical effect of arthroscopy combined with minimally invasive incision in the treatment of dislocation of knee joint complicated with multiple ligament injury.Methods From January 2017 to January 2019, 60 patients with dislocation of knee joint complicated with multiple ligament injury treated in our hospital were selected as the subjects, and divided into observation group (n=30) and control group (n=30) according to the method of drawing lots.The control group was treated with conventional orthopedic surgery, and the observation group was treated with arthroscopy combined with minimally invasive incision.The therapeutic effect, recovery time of knee joint function and complications were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group, the difference was statistically significant (P＜0.05).The recovery time of knee joint function in the observation group was shorter than that in the control group, the difference was statistically significant (P＜0.05).The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P＜0.05).Conclusion Arthroscopy combined with minimally invasive incision is more effective in the treatment of dislocation of knee joint with multiple ligament injury,which can effectively improve the therapeutic effect, shorten the recovery time of patients, and the incidence of complications is low.

Key words： Arthroscopy Minimally invasive incision Dislocation of knee joint Multiple ligament injuries Clinical effect

引用本文:

李正南；王一海；杨康骅；罗志环；蔡幸健；朱道信; 肖诗梁. 关节镜联合微创切口治疗膝关节脱位合并多韧带损伤的临床效果[J]. 中国当代医药, 2020, 27(13): 44-46转50.
LI Zheng-nan; WANG Yi-hai; YANG Kang-hua; LUO Zhi-huan; CAI Xing-jian; ZHU Dao-xin; XIAO Shi-liang. Clinical effect of arthroscopy combined with minimally invasive incision in the treatment of dislocation of knee joint complicated with multiple ligament injury. 中国当代医药, 2020, 27(13): 44-46转50.

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[1]	李凭跃，尹庆水，黄华扬，等.前交叉韧带损伤对膝关节侧副韧带影响的运动还原在体稳定性研究[J].中华创伤骨科杂志，2010，12（7）：659-663.
[2]	李光明，杨磊，千东升，等.严重膝关节脱位伴多韧带损伤的早期处理[J].临床医学，2016，36（1）：19-21.
[3]	钱利海，梁清宇，陈先进，等.膝关节脱位合并多发韧带损伤的治疗策略及疗效分析[J].中华解剖与临床杂志，2016，21（6）：552-557.
[4]	Li L，Wang H，He Y，et al.Treatment of recurrent patellar dislocation via knee arthroscopy combined with C-arm fluoroscopy and reconstruction of the medial patellofemoral ligament[J].Eep Ther Med，2018，15（6）：5051-5057.
[5]	邵宏斌，李慎松，周鹏，等.膝关节脱位致多韧带损伤Ⅰ期修复重建的疗效[J].临床与病理杂志，2017，37（5）：932-936.
[6]	冯明光，杨海涛，江旭未.股内侧肌嵌顿致难复性膝关节后外侧脱位一例报告[J].中华骨科杂志，2015，35（6）：673-675.
[7]	戴雪松，赵新华.膝关节脱位合并多韧带损伤的手术治疗[J].中华创伤杂志，2008，24（1）：18-21.
[8]	高万旭，魏立伟，高艳，等.分期手术治疗复杂膝关节后外侧脱位的疗效观察[J].中国骨与关节损伤杂志，2019，34（1）：110-111.
[9]	唐伟华.手法整复联合高分子绷带与Pavlik 挽具治疗新生儿先天性膝关节脱位的临床疗效[J].实用中西医结合临床，2017，17（7）：91-92.
[10]	肖依诚，刘映岐，黄勇.左膝关节后脱位伴腘动脉、腓总神经、后叉韧带损伤一、二期手术治疗1 例报告[J].世界最新医学信息文摘，2016，16（72）：259-260.
[11]	Basat HC，Ucar DH，Armangil M，et al.Post operative pain management in shoulder surgery：suprascapular and axillary nerve block by arthroscope assisted catheter placement[J].Indian J Orthop，2016，50（6）：584-589.
[12]	赖然，英强，舒克冬，等.关节镜下修复重建膝关节脱位合并多发韧带损伤的可行性[J].中国校医，2018，32（10）：39-40.
[13]	吴锦秋，谭明远，程振东，等.43 例膝关节多韧带损伤自体肌腱修复功能重建的近期疗效观察[J].中国中医骨伤科杂志，2019，27（1）：59-62.
[14]	孙欢，尤琳，方勇.一期小切口复位二期关节镜下治疗外伤性难复性膝关节脱位合并多韧带损伤的疗效[J].安徽医学，2015，36（10）：1234-1236.
[15]	Rajabi H，Sheikhani Shahin H，Norouzian M，et al.The healing effects of aquatic activities and allogenic injection of platelet-rich plasma （PRP） on injuries of achilles tendon in experimental rat[J].World J Plast Surg，2015，4（1）：66-73.
[16]	黄晋，杨松杰，翁科捷，等.自体肌腱与同种异体肌腱在膝关节前交叉韧带重建中的疗效比较[J].中国临床医生，2016，44（10）：53-56.