Background：Bibliometric analysis and visualization tools were used to determine the development trend of intra-articular injection in arthroscopic treatment in the past 20 years, so as to guide researchers to explore new directions and hotspots in the field in the future. Method：In the Web of Science Core Collection, all articles about the application of intra-articular injection in arthroscopic treatment from 2000 to 2024 were searched. The qualitative and quantitative analysis was performed based on Web of Science, Vosviewer and Citespace software. Result：After excluding non-article articles such as review and letter and non-English language articles, 1007 articles were finally included. Over the past 2 decades, the number of publications on the application of intra-articular injection in arthroscopic treatment increased. Among them, the United States, China, the United Kingdom and Italy have made significant contributions in this field. The most productive institution was Rush University. The Journal of Arthroscopic and Related Surgery published the largest number of publications. The journal with the highest citation frequency also was The Journal of Arthroscopic and Related Surgery. The authors with the highest output and the highest citation frequency on average were Cole, Brian J and Choi, Yun-Jin, respectively. “arthroscopy”, “osteoarthritis” and “cartilage” were the top three keywords that appeared. From the keyword analysis, the current research trend indicates that the primary research hotspots of intra-articular injection in arthroscopic treatment are the arthroscopy, osteoarthritis and cartilage. The frontiers of this field are the Pain Management, osteoarthritis and Cartilage repair and regeneration. Conclusion：Over the past 23 years, the application of intra-articular injection in arthroscopic treatment has received increasing attention. Our bibliometric analysis results provide valuable information and research trends for researchers in the field to understand the basic knowledge of the field, identify current research hotspots, potential collaborators, and future research frontiers.

目的 探讨自体脂肪间充质干细胞(adipose tissue mesenchymal stem cells,AT-MSC)联合透明质酸治疗盘源性腰痛的效果.方法 选择2018 年1 月～2019 年6 月在本院就诊的104 例CDLBP患者作为研究对象,采用随机数字表法将患者分为对照组和观察组各52 例.对照组给予射频热凝术治疗,观察组给予AT-MSC联合透明质酸(hyaluronic acid,HA)椎间盘内注射治疗.观察两组患者术后并发症发生率和有效率,观察两组患者术前、术后1～12 个月时的VAS评分、Oswestry功能障碍指数(Oswestry disability index,ODI).结果 术后1～12 个月时,两组患者VAS和ODI均较术前显著降低(P＜0.05);术后1 个月时,观察组VAS和ODI显著高于对照组(P＜0.05);术后3 个月、6 个月时,两组VAS和ODI差异无统计学意义(P＞0.05);术后9 个月、12 个月时,观察组VAS和ODI显著低于对照组(P＜0.05).观察组 12 个月时,VAS降低≥50%、ODI改善≥50%所占比例和有效率均显著高于对照组(P＜0.05).两组患者术后并发症发生率差异无统计学意义(P＞0.05).结论 AT-MSC治疗CDLBP具有良好的中远期效果,值得进一步研究探讨.

目的 探讨不同手术入路治疗GartlandⅢ型肱骨髁上骨折患儿的临床疗效.方法 回顾性分析2016年3月至2020年1月医院收治的64例GartlandⅢ型肱骨髁上骨折患儿的临床资料,根据手术入路的不同将其分为试验组(33例)与对照组(31例).试验组采取肘前横切口入路,对照组采取肘后正中切口肌间隙入路,比较两组的临床疗效.结果 术后两组均随访6个月以上,患儿骨折均愈合良好,末次随访无明显肘内翻畸形、肘关节伸屈功能障碍、骨化性肌炎、感染等并发症发生;两组术后优良率比较,差异无统计学意义(P>0.05);试验组术中出血量、手术时间、术后视觉模拟评分法(VAS)评分、瘢痕挛缩发生率均优于对照组,差异有统计学意义(P<0.05).结论 肘后正中切口肌间隙入路与肘前横切口入路治疗GartlandⅢ型肱骨髁上骨折患儿均可取得明显的效果,但后者可减少术中出血量、缩短手术时间、减轻术后疼痛、降低瘢痕挛缩发生率.

目的:探讨应用负压封闭引流(vacuum sealing drainage,VSD)技术联合腓肠神经营养血管皮瓣修复术治疗小腿Gustilo Ⅲ型骨折的临床疗效.方法:选取2012-05～2019-09收治的小腿Gustilo Ⅲ型骨折软组织缺损患者17例,车祸碾压伤13例,机器挤压、绞伤4例,其中Gustilo ⅢB型8例,Gustilo ⅢC型9例,均合并骨质外露及不同程度污染,均Ⅰ期行清创术+VSD,择期根据创面恢复情况行腓肠神经营养皮瓣修复术修补缺损创面,术后观察治疗效果.结果:17例患者术后随访10～21个月(平均13.4个月),皮瓣全部成活,外形美观,无迟发感染等并发症发生.14例经外固定架固定后骨折愈合时间为10～13个月(平均11.3个月),3例发生骨折不愈合,分别于术后7～8个月行植骨、髓内钉内固定术后愈合.结论:VSD联合腓肠神经营养血管皮瓣治疗小腿Gustilo Ⅲ型骨折软组织缺损,可减轻患者痛苦,减少医疗工作量,降低感染率和提高皮瓣成活率,是一种理想的小腿软组织修复方法.

目的 系统评价CT引导经皮微创技术与开放手术治疗脊柱结核的临床疗效和安全性.方法 计算机检索中国期刊全文数据库、中国生物医学文献数据库、万方数据库(1993-01/2014-10)、Cochrane Library、MEDLINE、EMBASE、SCI、PubMed.搜集有关CT引导经皮微创技术与开放手术治疗脊柱结核的随机对照试验和临床对照试验,采用Cochrane协作网专用软件Rev Man 5.3对数据进行Meta分析.结果 最终纳入15篇文献,共计1234例患者进行分析研究.Meta分析结果显示:CT引导经皮微创技术与开放手术在术后脊柱结核复发率、并发症发生率、术中出血量、椎体骨性融合时间、手术操作时间及住院时间方面差异有统计学意义(均P<0.05).结论 CT引导经皮微创技术治疗脊柱结核,与开放手术比较,可降低复发率和并发症发生率,减少术中出血量,缩短椎体骨性融合时间、手术操作时间及住院时间,是一种有效的微创术式,值得临床广泛推广应用.

目的:观察臭氧配合射频热凝微创手术治疗腰椎间盘突出症的临床疗效.方法:臭氧配合射频热凝消融术治疗腰椎间盘突出症120例,臭氧配合射频热凝椎间盘内注射.结果:臭氧配合射频热凝消融术治疗腰椎间盘突出症120例取得了较好的疗效.

<正>慢性前列腺炎(chronie prostatitis,CP.)是男性泌尿生殖系统常见病,多发病之一,其病情迁延反复,容易复发,不但影响了患者的身心健康,而且也一直是困扰患者和医生的难题。我科应用超短波加等幅中频正弦电配合中药灌肠治疗慢性前列腺炎患者95例,临床疗效满意,现报道如下。

Objective To explore the clinical effects of ozone treatment on different types of cervical spondylosis. Methods 20 cases of cervical spondylosis were treated under the surveillance of C-arm positioning with 75% concentration of ozone 8 ~ 12 ml into the corresponding symptoms of cervical gaps. Results All the 20 patients recovered, followed up for 6 months without recurrence, without any complications. Conclusion Minimally invasive ozone treatment of cervical spondylosis is simple, safe, less traumatic, significantly and reliably effective, which is the best choice of treatment for elderly patients with cervical spondylosis.

Objective To summarize the experience of treatment of severe thoracic crushed trauma complicated with acute respiratory distress syndrome(ARDS).Methods Early preventive measures and comprehensive therapeutic schemes were taken for the 16 patients with severe thoracic crushed trauma complicated with ARDS.Results All the 16 patients recovered completely,without any infection of thoracic cavity.Conclusion Application of early preventive measures and focused,accurate,timely integrated therapeutic schemes will help achieve satisfactory results in treatment of patients with severe thoracic crushed trauma complicated with ARDS.

<正>膝关节持续被动运动(continuous passive motion cpm)在膝关节手术后对膝关节的功能恢复有有效的辅助治疗作用。自2009年3月~2011年3月,我科50例患者在膝关节手术后采用cpm持续被动锻炼,取得满意效果,现报道如下:

目的探讨理疗加针刺治疗肱骨外上髁炎的疗效分析。方法对48例肱骨外上髁炎患者超短波加中频脉冲治疗后配合针灸治疗。结果治疗1～2个疗程后,痊愈30例,好转16例,无效2例。结论理疗加针刺治疗肱骨外上髁炎有明显的效果,值得临床推广应用。

目的探讨综合康复治疗急性关节软组织扭挫伤的疗效观察。方法对我科来诊的60例不同部位急性关节软组织扭挫伤患者随机分为治疗组30例(其中足踝关节18例、膝关节3例、腰软组织7例、肘关节2例);对照组30例(其中足踝关节19例、膝关节3例、腰软组织5例、肘关节3例)。结果经2个疗程治疗后,治疗组有效率为87%,对照组有效率为53%。结论综合康复疗法的疗效明显优于单纯物理因子治疗。

目的红外线联合调制中频电治疗带状疱疹后遗神经痛患者的疗效观察。方法选择116例门诊病人,随机分为治疗组与对照组,每组58例。治疗组采用红外线联合调制中频电治疗;对照组采用口服维生素B1,10mg/次,3次/d,神痛宁胶囊,2粒/次,3次/d。2组患者均于治疗2个疗程后评定疗效。结果两组比较,差异显著具有统计学意义(P<0.05)。结论红外线联合调制中频电治疗PHN有显著的疗效。

胫骨疲劳性骨折是部队训练中常见损伤,发生后疼痛肿胀明显且症状持续时间长,传统治疗需患肢制动或石膏外固定4～6周,严重影响部队训练和生活.2001-01～2006-05,我们采用单边式外固定架治疗胫骨疲劳性骨折22例,取得良好效果.现报告如下.

胫骨结节骨软骨炎,是步兵战士常见病、多发病,尤其在新兵训练时,发病率较高.发病时胫骨结节处肿胀疼痛,伸膝乏力,严重影响部队训练工作正常进行.2001-10～2005-06我们收治步兵胫骨结节骨软骨炎43例,现报告如下.

一侧或双侧的关节突之间峡部缺损,而椎体没有发生移位者,称之为峡部裂,少数情况下也称之为椎弓崩裂(Spondylolysis).脊柱滑脱(Spondylolisthesis)通常是指一个椎体在另一个椎体之上向前或向后移位或脱位.此症是青壮年常见的脊柱疾患,当有腰痛和下肢根性神经痛经保守治疗效果不满意时,多采用手术治疗.我科自1997-07～2002-01采用椎弓根钉结合椎板钩治疗7例患者,均取得满意效果.