陈东

【摘要】目的:探讨脊柱膝关节损伤患者中采用微创和传统手术治疗的临床效果。方法:对来我院接受手术治疗的66例患者入院资料进行分析，根据患者手术治疗时间分为实验组和对照组。对照组采用传统手术治疗，实验组采用微创手术治疗，比较两组治疗效果。结果：实验组94%患者治疗效果较好，高于对照组（75.6%）；实验组94%患者对我院治疗比较满意，优于对照组(P＜0.05）；实验组出血量为（60.5±4.8）ml、手术时间为（56.2±5.6）min，住院时间为（8.9±2.7）d优于对照组（P＜0.05）；实验组2例出现并发症，低于对照组（7例）（P＜0.05）。结论：脊柱膝关节发病率较高，致残率也比较高，采用微创手术治疗效果较好，值得推广使用。

【关键词】骨性膝关节；中西医结合；临床效果

【Abstract】 Objective: To investigate the clinical effect of spinal injury of knee joint in patients with minimally invasive treatment and traditional operation. Methods: 66 cases of patients admitted to our hospital to accept operation treatment data were analyzed according to the operation time of treatment, patients were divided into experimental group and control group. The control group used the traditional operation treatment, the experimental group with minimally invasive operation treatment, treatment effects were compared between the two groups. Results: Good effect in experimental group 94% patients, higher than that of the control group (75.6%); the experiment group of 94% patients in our hospital treatment satisfaction, better than the control group (P < 0.05); the experiment group hemorrhage was (60.5 ± 4.8) ml, the operation time was (56.2 ± 5.6) min, (8.9 for the length of time ± 2.7) d was better than that of the control group (P < 0.05); 2 cases with complications in experimental group, lower than that of the control group (7 cases) (P < 0.05). Conclusion: Spinal knee high morbidity, disability rate is relatively high, the curative effect of minimally invasive operation is good, is worthy to be popularized.

【key words 】osteoarthritis of knee; integrated traditional Chinese and Western medicine; clinical effect

【中圖分类号】R722.12 【文献标识码】B【文章编号】1004-4949(2014)07-0039-02

脊柱膝关节损伤临床上发病率较高，且缺乏理想根治方法，传统手术治疗虽然能够改善患者症状，但是长期效果不好，且患者手术后并发症较多，部分患者甚至患者需要长期用药并发症较多。近年来，随着我国医疗技术的飞速发展，微创手术在脊柱膝关节损伤患者中使用广泛，并且效果较好［1］。为了探讨脊柱膝关节患者中采用微创和传统手术治疗的临床效果。对2011年l月至2013年10月我门诊治疗的66例患者资料进行分析，分析报告如下。

1.资料与方法

1.1一般资料

对来我院接受手术治疗的66例患者入院资料进行分析，根据患者手术治疗时间分为实验组和对照组。调研中，共有36例男性，30例女性，其年龄在39-84岁，平均年龄为49.5 1.5岁。患者来我门诊后，立即对患者进行相关检查，患者得到确诊均符合手术相关标准，患者入院前都有使用药物史，患者没有甲状腺等其他疾病，两组一般资料见表1。……