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Comparison of conservative and surgical treatment methods in patients with meniscopathy

机译:半月板病患者保守治疗和手术治疗方法的比较

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Objective: Arthroscopic surgery is currently a well-known treatment method for meniscal pathologies. This study aims to compare conservative and surgical methods in patients with meniscopathy. Materials and Methods: The retrospective analyses of 68 patients with meniscal tear were included in this study. Patients were divided into two groups: a medical treatment group (MTG) and a surgical treatment group (STG). Diagnosis was perfomed by physical examination and magnetic resonance imaging (MRI). All patients were evaluated before and after treatment with main pain score (MPS), International Knee Documentation Committee (IKDC) score, body mass index (BMI), and Ultrasensitive C-reactive protein (US-CRP). In the MTG group, 31 patients underwent medical treatment with naproxen sodium for three days, ice application, activity modification, and muscle exercises. In the STG group, 37 patients underwent arthroscopic partial menisectomy and naproxen sodium for three days. Parameters characterizing pretreatment and posttreatment states were compared statistically. The MPS, IKDC, BMI, and US-CRP values of both groups were recorded at baseline and three months after treatment. Results: Surgical treatment group (STG): In this group, after three months of treatment, MPS decreased and IKDC scores increased significantly when compared with baseline (P 0.1799, respectively). Medical treatment group (MTG): In this group, MPS decreased and BMI increased significantly after three months compared with preoperative scores (P 0.05, respectively). Conclusion: IKDC and pain scores of patients with meniscal tear improved by arthroscopic knee surgery.
机译:目的:关节镜手术是目前治疗半月板病变的一种著名方法。本研究旨在比较半月板病患者的保守治疗方法和手术治疗方法。材料与方法:本研究包括68例半月板撕裂患者的回顾性分析。将患者分为两组:内科治疗组(MTG)和外科治疗组(STG)。通过体格检查和磁共振成像(MRI)进行诊断。所有患者在治疗前后均进行了主要疼痛评分(MPS),国际膝关节文献委员会(IKDC)评分,体重指数(BMI)和超敏C反应蛋白(US-CRP)评估。在MTG组中,有31名患者接受了萘普生钠的三天药物治疗,冰敷,活动调节和肌肉锻炼。在STG组中,有37例患者接受了关节镜部分半月板切除术和萘普生钠治疗3天。统计比较表征预处理和后处理状态的参数。两组均在基线和治疗后三个月记录MPS,IKDC,BMI和US-CRP值。结果:外科治疗组(STG):在该组中,治疗三个月后,MPS下降,IKDC评分与基线相比显着增加(分别为P 0.1799)。药物治疗组(MTG):与术前评分相比,该组在三个月后MPS降低,BMI显着升高(分别为P 0.05)。结论:膝关节镜检查可改善半月板撕裂患者的IKDC和疼痛评分。

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