文章摘要
廖炳辉,丁明,卢巧茹,等.射频治疗对关节镜下半月板部分切除术早期疗效的影响.骨科,2018,9(3): 168-172.
射频治疗对关节镜下半月板部分切除术早期疗效的影响
The curative effectiveness of radiofrequency coblation in meniscectomy under arthroscopy
投稿时间:2018-03-16  
DOI:10.3969/j.issn.1674-8573.2018.03.002
中文关键词: 关节镜  半月板  膝关节  射频汽化技术
英文关键词: Arthroscopy  Meniscus  Knee joint  Radiofrequency coblation technique
基金项目:
作者单位E-mail
廖炳辉 710032 西安空军军医大学西京医院运动医学科  
丁明 710032 西安空军军医大学西京医院运动医学科  
卢巧茹 711700 陕西渭南富平县八里店骨伤医院  
甄志雷 710032 西安空军军医大学西京医院运动医学科  
上官磊 710032 西安空军军医大学西京医院运动医学科  
王迎春 710032 西安空军军医大学西京医院运动医学科  
徐虎 710032 西安空军军医大学西京医院运动医学科 xuhu2014jiaoxue@163.com 
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中文摘要:
      目的 探讨半月板部分切除术后使用射频汽化修整残留半月板对病人术后膝关节预后的影响。方法 前瞻性地纳入60例病人,随机分为两组,观察组(26例)病人采用膝关节镜下半月板部分切除+射频修整术,对照组病人(34例)采用膝关节镜下单纯半月板部分切除术。对比两组病人术后48 h伤口引流量及疼痛视觉模拟量表(visual analogue scale, VAS)评分;采用膝关节Lysholm评分标准评估膝关节功能,记录并比较两组病人术前及术后6个月随访时的Lysholm评分。结果 观察组和对照组病人的术后引流量分别为(51.15±22.69) ml、(63.24±23.45) ml,VAS评分分别为(1.45±0.50)分、(1.62±0.55)分,两组间比较,差异均无统计学意义(t=0.264,P=0.610;t=0.259,P=0.613);所有入组病人术后的Lysholm评分为(91.58±5.78)分,均优于术前的(73.53±4.52)分,差异有统计学意义(t=8.012,P=0.005);观察组及对照组术后的Lysholm评分分别为(90.00±5.54)分、(92.79±5.75)分,差异无统计学意义(t=0.219,P=0.641)。结论 关节镜下行半月板部分切除术的出血量与使用射频汽化仪无关,无论是否使用射频汽化修整残留半月板,病人术后膝关节的功能都能得到较好的恢复。
英文摘要:
      Objective To investigate the prognosis of knee joint after partial meniscectomy with or without radiofrequency coblation. Methods This study included 60 patients which were divided into partial meniscectomy without radiofrequency coblation (control group, 34 cases) and partial meniscectomy with radiofrequency coblation (observation group, 26 cases). The differences in postoperative bleeding volume, subjective pain sensation and Lysholm score of knee joint were compared between two groups. Results There was no significant difference in the flow rate between the control group [(63.24±23.45) ml] and the observation group [(51.15±22.69) ml] (t=0.264, P=0.610). There was no significant difference in the VAS score between the control group (1.62±0.55) and the observation group (1.45±0.50) (t=0.259, P=0.613). The Lysholm score in all patients after operation (91.58±5.78) was higher than that before operation (73.53±4.52), and the difference was statistically significant (t=8.012, P=0.005). There was no significant difference in the Lysholm score after operation between the control group (92.79±5.75) and the observation group (90.00±5.54) (t=0.219, P=0.641). Conclusion The postoperative bleeding volume of partial meniscectomy is not related with radiofrequency coblation. The Lysholm score of the knee joint in patients after partial meniscectomy with or without radiofrequency coblation is higher than preoperation.
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