关节镜下清理术联合髁间窝成形术对老年膝骨关节炎治疗效果和安全性的比较研究

发布时间：2018-04-01 13:31

本文选题：关节镜下清理术　切入点：髁间窝成形术　出处：《重庆医学》2017年11期

【摘要】：目的探讨关节镜下清理术联合髁间窝成形术对老年膝骨关节炎的治疗效果和安全性。方法选择2012年6月至2014年12月该院收治的老年膝骨关节炎患者68例,分为A组和B组,每组34例。A组给予关节镜下清理术,B组给予关节镜下清理术联合髁间窝成形术。比较两组患者术后3个月、6个月和12个月视觉模拟评分法(VAS)评分、Lysholm评分、WOMAC评分和关节活动度,统计两组患者术后出现的不良反应事件及其发生率。结果术后两组患者VAS评分和WOMAC评分均显著性降低(P0.05);与A组比较,B组患者在术后12个月VAS评分和WOMAC评分更低(P0.05)。术后两组患者的Lysholm评分均升高(P0.05),B组患者在术后12个月Lysholm评分显著高于A组(P0.05)。术后两组患者的关节活动度均得到显著改善(P0.05),术后6个月和12个月B组患者的膝关节活动度明显优于A组(P0.05)。术后早期关节肿胀是两组患者出现的不良反应事件,两组比较差异无统计学意义(P0.05)。结论关节镜下清扫联合髁间窝成形术可以有效缓解患者关节疼痛,提高治疗效果,改善患者膝关节功能。
[Abstract]:Objective to investigate the efficacy and safety of arthroscopic debridement combined with intercondylar fossa plasty in the treatment of senile knee osteoarthritis. Methods Sixty-eight patients with senile knee osteoarthritis admitted in our hospital from June 2012 to December 2014 were divided into group A and group B. Group A received arthroscopic debridement and group B received arthroscopic debridement combined with intercondylar fossa plasty. Results the scores of VAS and WOMAC in the two groups were significantly lower than those in group A, and the scores of VAS and WOMAC in group B were lower than those in group A at 12 months after operation. The Lysholm scores in both groups were significantly higher than those in group A at 12 months postoperatively. The range of joint motion was significantly improved in both groups, and the knee joints in group B were significantly improved at 6 and 12 months after operation. The range of motion was significantly better than that of group A (P 0.05). Early postoperative joint swelling was an adverse event in both groups. Conclusion arthroscopic dissection combined with intercondylar fossa plasty can effectively relieve the joint pain, improve the therapeutic effect and improve the knee joint function of the patients.
【作者单位】：江西省新余市人民医院骨一科;
【分类号】：R687.4

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