膝关节镜下关节清理联合髌周去神经化治疗膝前痛的临床疗效分析
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1.中国人民解放军联勤保障部队第九六七医院;2.大连医科大学

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Clinical effect analysis of knee joint cleaning combined with peripatellar neuralization in the treatment of anterior knee pain
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1.967 hospital of the joint logistics support force of pla;2.Dalian medical university

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    摘要:

    [目的] 探讨膝关节镜下髌周去神经化治疗膝前痛的临床治疗疗效。[方法] 将50例膝前痛患者随机分为实验组和对照组各25例,对照组采用膝关节镜下关节清理术,实验组在此基础上联合髌周去神经化治疗,术后随访4-8个月。比较两组患者Lysholm膝关节功能评分、视觉模拟评分、髌骨Kujala评分及膝关节的本体感觉,并分析评分变化。[结果] 术后4个月两组评分相差不明显,术后8个月,实验组Lysholm膝关节功能评分、视觉模拟评分、髌骨Kujala评分显著高于对照组(?<0.05);与术前比较也有明显的提高。[结论] 膝关节镜下清理术联合髌周去神经化治疗膝前痛能显著提高疗效;术后8个月以后比膝关节镜下单纯清理术的优良率有明显的提高。

    Abstract:

    objective to investigate the clinical effect of arthroscopic peripatellar deneuralization on anterior knee pain. Methods 50 patients with anterior knee pain were randomly divided into the experimental group and the control group (25 cases each). The control group received arthroscopic arthrodesis, and the experimental group received peri-patellar deneuralization treatment on this basis. The follow-up period was 4-8 months. Lysholm knee function score, visual simulation score, patella Kujala score and proprioception of knee joints were compared between the two groups, and the changes of score were analyzed. Results 4 months after surgery, there was no significant difference in scores between the two groups. 8 months after surgery, Lysholm knee function score, visual simulation score and patella Kujala score in the experimental group were significantly higher than those in the control group (P<0.05). There was also a significant improvement compared with that before surgery. Conclusion arthroscopic cleaning of the knee joint can significantly improve the curative effect of anterior knee pain. The excellent and good rate of knee arthroscopy was significantly improved after 8 months.

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  • 收稿日期:2019-10-08
  • 最后修改日期:2019-10-08
  • 录用日期:2019-12-25
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