标题：关节镜手术治疗膝关节内侧半月板Ramp损伤的疗效研究

      作者：王涛，史长安，张文生，高延伟，刘世平，庞军，刘亚波    延安市人民医院骨关节运动损伤科，陕西 延安 716000

      卷次： 2019年30卷22期

      【摘要】 目的 研究关节镜手术治疗膝关节内侧半月板Ramp损伤的疗效。方法 选取 2018年 6月至 2019年6月期间延安市人民医院骨关节运动损伤科收治的60例膝关节内侧半月板Ramp损伤患者作为研究对象，所有患者均接受关节镜手术治疗。比较治疗前后患者的膝关节活动度、视觉模拟评分法(VAS)、膝关节功能评分(Lysholm)、膝关节运动评分(Tegner)、膝关节功能主观评分(IKDC)、膝关节恢复及并发症发生情况。结果 治疗后，患者的膝关节活动度为(133.92±9.11)°，明显高于治疗前的(119.18±9.23)°，而VAS评分为(2.04±0.33)分，明显低于治疗前的(5.27±0.59)分，治疗前后比较差异均具有统计学意义(P<0.05)；治疗后，患者的Lysholm、Tegner及 IKDC评分分别为(93.10±6.23)分、(6.58±1.01)分及(87.13±2.14)分，分别与治疗前的(40.31±2.19)分、(3.18±0.12)分和(45.06±1.94)分比较明显升高，差异均有统计学意义(P<0.05)；治疗后，患者膝关节恢复优良率为91.7%，明显高于治疗前的66.7%，差异有统计学意义(P<0.05)；治疗后有4例患者出现并发症，并发症发生率为6.7%。结论 关节镜手术治疗膝关节内侧半月板Ramp损伤可明显减轻患者疼痛，改善膝关节功能，减少并发症，安全可靠，在临床中值得推广应用。
      【关键词】 关节镜；膝关节内侧半月板Ramp损伤；膝关节功能评分；膝关节功能主观评分；疗效
      【中图分类号】 R684 【文献标识码】 A 【文章编号】 1003—6350（2019）22—2912—03

Curative effect of arthroscopic surgery in patients with meniscal ramp lesions of the knee.
WANG Tao, SHIChang-an, ZHANG Wen-sheng, GAO Yan-wei, LIU Shi-ping, PANG Jun, LIU Ya-bo. Department of Bone and Joint SportsInjuries, Yan'an People's Hospital, Yan'an 716000, Shaanxi, CHINA
【Abstract】 Objective To study curative effect of arthroscopic surgery in patients with meniscal ramp lesionsof the knee. Methods A total of 60 patients with meniscal ramp lesions of the knee, who admitted to Department ofBone and Joint Sports Injuries, Yan'an People's Hospital from June 2018 to June 2019, were selected and received ar-throscopic surgery. Knee range of motion, visual analog scale (VAS) pain score, Lysholm score, Tegner score, Interna-tional Knee Documentation Committee (IKDC) score, knee joint recovery, and complications of the patients were ob-served before and after treatment. Results After treatment, the knee range of motion of the patients was (133.92 ±9.11)°, which was significantly rather than (119.18±9.23)° before treatment, while VAS score was 2.04±0.33, which wassignificantly lower than 5.27±0.59 before treatment (all P<0.05); Lysholm score, Tegner score, and IKDC score of the pa-tients were 93.10±6.23, 6.58±1.01, 87.13±2.14, respectively, which were significantly higher than corresponding 40.31±2.19), 3.18±0.12, 45.06±1.94 before treatment (all P<0.05); excellent rate of knee joint recovery of patients was 91.7%,which was significantly higher than 66.7% before treatment (P<0.05); After treatment, complications occurred in 4 pa-tients, and the incidence of complications was 6.7%. Conclusion Arthroscopic surgery has significant effect on menis-cal ramp lesions of the knee. It can obviously relieve pain, improve knee function, reduce complications, and is safe andreliable. It is worth popularizing and applying in clinic.
      【Key words】 Arthroscopy; Meniscal ramp lesions of the knee; Lysholm score; International Knee DocumentationCommittee (IKDC) score; Curative effect