关节镜治疗症状性膝关节骨关节炎的疗效

发布时间：2018-03-09 15:47

  本文选题：膝关节骨关节炎　切入点：关节镜　出处：《中国现代医学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨关节镜治疗不同X线分级、不同病因症状性膝关节骨关节炎的临床疗效。方法选取2015年1月-2015年12月首诊为症状性膝关节骨关节炎的病例,依据Kellgren-Lawrence X线分级标准(kellgrenlawrence grading system,KL)将患者分级,回顾膝关节镜下的手术操作,记录半月板成形、炎性滑膜切除、游离体摘除及软骨剥脱微骨折等操作。根据患者的KL分级和病因进行分类随访。记录术后主观满意度、术前及术后Lysholm膝关节评分,进行统计学分析。结果不同KL分级患者术后满意度比较,差异有统计学意义(P0.05);KL分级为0级、Ⅰ级以及Ⅱ级的患者Lysholm评分较术前比较差异有统计学意义(P0.05);Ⅲ级患者Lysholm评分较术前比较差异无统计学意义(P0.05)病因为单纯炎性滑膜增生、炎性滑膜增生合并半月板损伤、炎性滑膜增生合并游离体形成的患者Lysholm评分较术前比较差异有统计学意义(P0.05);病因为炎性滑膜增生合并软骨剥脱的患者Lysholm评分较术前比较差异无统计学意义(P0.05)。结论对于KL分级不超过Ⅱ级和病因为炎性滑膜增生、半月板损伤、游离体形成的膝关节骨关节炎患者,关节镜治疗效果明确。对于KL分级超过Ⅱ级和病因为软骨剥脱的患者,关节镜治疗效果不理想。
[Abstract]:Objective to investigate the clinical efficacy of arthroscopy in the treatment of symptomatic knee osteoarthritis with different X-ray grades and etiology. Methods from January 2015 to December 2015, the first diagnosed cases of symptomatic osteoarthritis of knee joint were selected. According to the Kellgren-Lawrence X-ray grading standard, the patients were graded. The surgical procedures under knee arthroscopy were reviewed, meniscus formation and inflammatory synovectomy were recorded. The patients were followed up according to KL classification and etiology. Subjective satisfaction, preoperative and postoperative Lysholm knee score were recorded. Results compared with the patients with different KL grade, the difference was statistically significant (P 0.05) and KL grade was 0. The Lysholm score of grade 鈪，

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