膝关节镜下治疗膝关节后外侧结构损伤60例分析

摘要

目的:观察膝关节镜下和传统开放手术治疗膝关节后外侧结构损伤的疗效比较.方法:将我院收治的膝关节后外侧结构损伤的患者60例,随机分为关节镜手术组和传统开放手术组各30例.对其疗效、患者满意度进行比较.结果:关节镜手术组总有效率93.34%显著高于传统手术组80.00%(P<0.05);关节镜手术组总满意度93.34%高于传统组76.67%(P<0.05).结论:膝关节镜下修复及重建膝关节后外侧损伤符合微创要求,能及时发现并处理关节内重要结构的损伤,降低膝关节不稳定性的发生,并发症少,住院时间短,为普遍患者所接受.%Objective: To study the complementary value of alpha-fetoprotein( AFP ),a-L-fucosidase ( AFU ) and glypican3( GPC3 ) to the diagnosis of primary hepatic carcinoma( PHC ). Method: AFP, AFU and GPC3 in serum were measured in 55 cases of primary hepatic carcinoma and 30 liver cirrhosis patients in our hospital from Aug. 2009 to Jul. 2011. The three indices were compared and analyzed for the their complementary diagnostic values to primary hepatic carcinoma. Used electrical spectrophotometer method to de-tect AFP , speed method to detect AFU and enzyme-linked immunosorbent assay method to detect GPC3. Result: AFP, AFU and GPC3 in PHC group were significantly higher than the other two groups( P<0. 05 ). The positive detection rate of GPC3 , AFU and AFP in PHC group was 47. 3% ,23. 6% ,29.1% respectively. Simultaneous determination of AFP and AFU or GPC3 could increase the sensitivities to 38. 2% or 63. 6% respectively. Furthermore, combines detection of these three indices could make the diagnostic sensitivities as high as 78. 1%. In 39 PHC cases whose AFP was negative, the positive detection rate of GPC3 and AFU was 60. 0%( 23/39 )and 30. 8% ( 12/39 ) respectively, it may manifest the complementary function. Conclusion: There is diagnostic value of AFP,AFU,GPC3 on PHC. The combining of examination in AFP and GPC3 is superior, especially in those with negative or low serum level of AFP.