【摘要】 目的 分析对膝关节中小面积软骨损伤患者分别实施关节镜下自体骨软骨自体移植和微骨折术治疗后的临床应用效果对比。方法 选择2018年3月-2020年8月内蒙古科技大学包头医学院第一附属医院收治的48例膝关节中小面积软骨损伤患者作为研究对象，并按患者住院号尾数的单偶数，分为观察组(24例，实施关节镜下自体骨软骨自体移植治疗)和对照组(24例，实施微骨折术治疗)。对比两组患者诊疗前后HSS评分、术后并发症发生情况、手术治疗效果。结果 与对照组相对比，观察组术后HSS评分更高，术后并发症总发生率更低，手术治疗总有效率更高，数据对比有统计学差异(P<0.05)。结论 对膝关节中小面积软骨损伤患者实施关节镜下自体骨软骨自体移植治疗方式能使患者在较短时间内恢复较正常的软骨功能作用，降低术后并发症发生概率，帮助患者恢复较正常的活动能力，避免其正常生活状态受过多影响。更多还原

【Abstract】 Objective To analyze the clinical effect of arthroscopic autologous bone cartilage autograft and microfracture in patients with small and medium-sized cartilage injury of knee joint.Methods Forty-eight patients with small and medium-sized cartilage injury of knee joint treated in the First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of science and technology from March 2018 to August 2020 were selected as the research object,and were divided into observation group (24 cases,treated with autologous bone and cartilage autograft under arthroscopy) and control group (24 cases,treated with microfracture).The HSS score,postoperative complications and surgical treatment effect were compared between the two groups before and after diagnosis and treatment.Results Compared with the control group,the observation group had higher postoperative HSS score,lower total incidence of postoperative complications and higher total effective rate of surgical treatment.The data comparison was statistically different (P<0.05).Conclusion Arthroscopic autologous osteochondral autograft can restore normal cartilage function in a short time,reduce the incidence of postoperative complications,help patients restore normal activity and avoid multiple effects on their normal living conditions.更多还原