简介:摘要目的探讨关节镜下前交叉韧带重建术治疗效果。方法选取2018年2月—12月期间接收的78例膝关节交叉韧带受损患者78例,随机分为常规组与关节镜组,每组39例,常规组运用常规治疗,关节镜组运用关节镜下前交叉韧带重建术治疗,比较两组患者膝关节功能状况与患者治疗满意度。结果IKDC、Tengner评分与Lyrshohn评分,关节镜组治疗后改善显著优于常规组,差异有统计学意义(P<0.05);患者治疗满意率,关节镜组为94.87%,常规组为76.92%,差异有统计学意义(P<0.05)。结论关节镜下前交叉韧带重建术治疗可以有效的改善患者膝关节功能状态,提高患者治疗满意度,整体恢复效果相对较好。
简介:摘要目的探讨关节镜下前交叉韧带重建术治疗效果。方法选取2018年2月—12月期间接收的78例膝关节交叉韧带受损患者78例,随机分为常规组与关节镜组,每组39例,常规组运用常规治疗,关节镜组运用关节镜下前交叉韧带重建术治疗,比较两组患者膝关节功能状况与患者治疗满意度。结果IKDC、Tengner评分与Lyrshohn评分,关节镜组治疗后改善显著优于常规组,差异有统计学意义(P<0.05);患者治疗满意率,关节镜组为94.87%,常规组为76.92%,差异有统计学意义(P<0.05)。结论关节镜下前交叉韧带重建术治疗可以有效的改善患者膝关节功能状态,提高患者治疗满意度,整体恢复效果相对较好。
简介:摘要目的通过对前交叉韧带(anteriorcruciateligament,ACL)撕裂患者核磁共振影像观察测量,研究ACL撕裂患者核磁二级表现特征,分析探讨前交叉韧带损伤机制。方法本研究选取55例膝关节ACL撕裂患者行核磁测量,测量的参数包括胫骨前移程度、PCL弓形弯曲情况、骨挫伤位置以及是否有特殊骨折(Segond骨折,半膜肌腱撕脱骨折等)。对结果进行方差分析和t检验。结果核磁测量结果显示83.6%(46/55)的ACL撕裂患者伴有胫骨前移的表现(移位>5mm),70.9%(39/55)的患者伴有PCL弓形弯曲,69.1%(38/55)的患者伴有骨挫伤,胫骨前移与PCL弓形弯曲程度有显著相关性。另外,大部分ACL撕裂患者伴有明显的骨挫伤。结论在MRI上,当前交叉韧带显示不好时,二级表现可以进行辅助诊断,这些二级表现的出现对前交叉韧带的治疗、康复、预后也许有一定的影响。
简介:摘要目的对磁共振成像技术(MRI)在膝关节前交叉韧带断裂诊断中的应用效果进行探究。方法随机选择我院2018年4月~2019年5月期间接诊的70例疑似膝关节前交叉韧带断裂患者为研究对象,施行超声检查、MRI检查,以关节镜检查为金标准,比较超声检查、MRI检查的诊断效果。结果MRI检查的诊断特异性(93.33%)高于超声检查(66.66%),但差异无显著性(P>0.05);MRI检查敏感度(96.36%)、诊断符合率(95.71%)高于超声检查(81.82%)、(78.57%),对比差异显著性(P<0.05)。结论MRI诊断膝关节前交叉韧带断裂的临床效果显著,利于指导后续治疗方案的合理制定,以及评估、预测患者治疗效果及预后发展状况。
简介:【摘要】目的:分析膝关节韧带损伤的 MRI表现特点。 方法:将我院2018 年 5~9 月的 100例 膝关节韧带损伤 患者作为本次 研究对象,随机分成对照组
简介:【摘要】目的:分析膝关节韧带损伤的 MRI表现特点。 方法:将我院2018 年 5~9 月的 100例 膝关节韧带损伤 患者作为本次 研究对象,随机分成对照组
简介:摘要目的探讨在关节镜下膝关节交叉韧带重建手术后配合使用护理的效果。方法在2017年6月-2019年6月内,选择17例进行关节镜下膝关节交叉韧带重建手术的患者设为试验组,患者均进行关节镜下膝关节交叉韧带重建手术,并且在术后配合护理,并选择2015年5月-2017年5月内17例患者作为对照组,患者均进行关节镜下膝关节交叉韧带重建手术,但不配合护理。探讨分析两组的治疗效果,膝关节功能和生活质量。结果试验组治疗效果比对照组高(P<0.05),生膝关节功能和生活质量比对照组要好(P<0.05)。结论在关节镜下膝关节交叉韧带重建手术后配合使用护理,可以提高治疗效果,改善患者的膝关节功能,进而改善患者术后的生活质量,因此具有推广应用的价值。
简介: 【摘 要】目的:观察一般护理模式与优质护理模式应用于膝关节交叉韧带损伤关节镜手术患者护理中的实际效果。方法:本课题选取的研究对象均来自于 2016年 8月~ 2018年 8月在我院就诊治疗的膝关节交叉韧带损伤病患,共计 88例,采用动态随机法分组为一般组与优质组, 2组各 44例,两组膝关节交叉韧带损伤病患均接受关节镜手术治疗,其中一般组患者接受一般护理模式,而优质组患者均接受优质护理模式,观察分析两组膝关节交叉韧带损伤关节镜手术疗效、患者对护理模式的满意度评价、术后并发症发生率、术后复发率等临床观察指标之间的统计学差异性。结果:通过本此研究观察,不同护理模式对膝关节交叉韧带损伤关节镜手术疗效有不同程度的影响作用,其中优质护理模式在患者术后疗效、患者满意度评价、术后并发症发生率及复发率指标上较一般护理模式更可获得满意结果,且两组各项相同观察指标间的对照差异性强烈,具有统计学意义( P<0.05)。结论:优质护理模式对膝关节交叉韧带损伤关节镜手术的影响效果符合临床预期,不僅可显著提高患者的术后疗效,还能够提升患者的满意度,减少术后疼痛、感染、关节弯曲受限等并发症的发生,以及能够明显降低术后复发率,具有在临床护理中大力推广实施的价值。 【关键词】一般护理模式;优质护理模式;膝关节交叉韧带损伤关节镜手术 [Abstract] Objective: To observe the practical effect of general nursing mode and high-quality nursing mode in the nursing of patients with knee cruciate ligament injury undergoing arthroscopic surgery. Methods: the subjects of this study were all from 88 patients with knee cruciate ligament injury who were treated in our hospital from August 2016 to August 2018. They were divided into general group and high-quality group by dynamic random method, 44 in each group. The patients in both groups received arthroscopic surgery, and the patients in general group received general nursing mode, while the patients in high-quality group received general nursing mode The patients in the two groups received high-quality nursing mode, and observed and analyzed the statistical differences between the two groups in the clinical observation indexes such as arthroscopic operation effect of knee cruciate ligament injury, patients' satisfaction evaluation of nursing mode, incidence of postoperative complications and recurrence rate. Results: through the observation of this study, different nursing modes have different degrees of influence on the curative effect of arthroscopic surgery for knee cruciate ligament injury, among which the high-quality nursing mode can obtain more satisfactory results than the general nursing mode in the indexes of postoperative curative effect, patient satisfaction evaluation, postoperative complication rate and recurrence rate, and the comparison between the same observation indexes of the two groups The difference was significant (P < 0.05). Conclusion: the effect of high-quality nursing mode on arthroscopic surgery of knee cruciate ligament injury is in line with clinical expectation. It can not only significantly improve the postoperative efficacy of patients, but also improve the satisfaction of patients, reduce the incidence of postoperative pain, infection, joint bending limitation and other complications, as well as significantly reduce the postoperative recurrence rate. It has been widely used in clinical nursing Value.
简介:摘要目的探究关节镜下同时修复重建前交叉韧带合并半月板损伤对患者膝关节功能的影响。方法按照随机数字表法将我院收治的82例前交叉韧带合并半月板损伤患者分成对照组(41例,行单纯修复半月板)和观察组(41例,同时修复重建前交叉韧带合并半月板损伤)。比较两组患者手术前后膝关节功能(Lysholm评分)变化及半月板愈合率。结果术后,两组患者Lysholm评分均较术前升高,且观察组Lysholm评分高于对照组,患者术后半月板愈合率高于对照组,差异有显著性(P<0.05)。结论关节镜下同时修复重建前交叉韧带合并半月板损伤能有效提高患者膝关节功能、半月板愈合率,推荐临床推广应用。
简介: 【摘 要】目的:探讨膝关节镜下交叉韧带重建术患者围手术期的护理方案及康复训练方法。方法:将 76例患者随机分为观察组及对照组。对照组患者接受常规围手术期护理措施及一般性的康复指导,观察组患者接受针对性围手术期护理措施及康复训练。比较两组患者护理前后膝关节 HHS评分、 Lysholm评分及疗效。结果:护理后,观察组患者 HHS评分及 Lysholm评分均高于对照组患者( P<0.01) ;观察组患者总有效率( 89.5%)高于对照组患者( 71.1%)( P<0.05)。结论:针对性围手术期护理措施及康复训练在膝关节镜下交叉韧带重建术患者中的应用效果显著,能够明显改善患者的膝关节功能,促进患者的康复。 【关键词】交叉韧带重建术 ;康复训练 ;膝关节功能 [Abstract] Objective: To explore the perioperative nursing plan and rehabilitation training method of patients with cruciate ligament reconstruction under knee arthroscope. Methods: 76 patients were randomly divided into observation group and control group. Patients in the control group received routine perioperative nursing measures and general rehabilitation guidance, while patients in the observation group received targeted perioperative nursing measures and rehabilitation training. The HHS score, Lysholm score and curative effect of the two groups were compared before and after nursing. Results: after nursing, the HHS score and Lysholm score of the observation group were higher than those of the control group (P < 0.01); the total effective rate of the observation group (89.5%) was higher than that of the control group (71.1%) (P < 0.05). Conclusion: targeted perioperative nursing measures and rehabilitation training in the knee arthroscopic cruciate ligament reconstruction of patients with significant effect, can significantly improve the knee joint function of patients, promote the rehabilitation of patients.