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膝关节镜术后并发症的危险因素分析
李海亮,冯明,张维昊,冯江涛,张澜艺,王奇
天津市南开医院骨科天津 300100;天津市南开医院神经病学中心天津 300100;天津市中医药研究院附属医院重症医学科天津 300120
摘要:
目的:分析膝关节镜术后并发症的形成原因及其危险因素。方法:收集2022年10月—2024年3月于我院行膝关节镜手术的78例患者的临床资料,分析其术后并发症的发生情况,探讨并发症的危险因素,以及减少并发症的最佳方法。结果:本组78例患者术后发生并发症9例,发生率为11.5%。其中下肢静脉血栓4例,膝关节积血2例,膝关节感染1例,腓总神经损伤1例,膝关节粘连1例,所有并发症经正确治疗后均取得满意结果。结论:膝关节镜术后并发症与疾病严重程度、术中操作技术、关节解剖结构、患者认知及依从性具有重要关系。严格把握手术指征,精准操作,术后悉心指导,定期随访,才能最大程度减少并发症发生。
关键词:  膝关节镜手术  并发症  危险因素  治疗
DOI:10.3969/j.issn.1007-6948.2025.04.012
投稿时间:2025-02-19
基金项目:天津市中西医结合医院院级优秀青年人才项目(2021-08);天津市中医中西医结合科研课题(2023168)
Analysis of risk factors for postoperative complications following knee arthroscopy
LI Hai-liang,FENG Ming,ZHANG Wei-hao
Abstract:
Objective To investigate the causes and risk factors for postoperative complications following knee arthroscopy. Methods Clinical data from 78 patients who underwent knee arthroscopic surgery at our hospital between October 2022 and March 2024 were retrospectively reviewed. The causes and risk factors for postoperative complications were analyzed. Strategies for complication minimization were identified based on the findings and established guidelines. Results The complications of knee arthroscopy occurred in 9 of 78 patients (11.5%). Complications included: deep vein thrombosis of the lower extremity (n=4), knee hematoma (n=2), surgical site infection (n=1), peroneal nerve injury (n=1), and arthrofibrosis (n=1). All complications were managed appropriately with favorable outcomes. Conclusion Postoperative complications following knee arthroscopy are associated with the severity of knee pathology, precision of intraoperative technique, knee anatomy, and patient factors (including compliance with postoperative protocols). Adherence to strict surgical indications, meticulous surgical technique, vigilant postoperative management, and regular follow-up are crucial for minimizing complication risk.
Key words:  Knee arthroscopy  complications  risk factors  therapy

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