不同截骨手术方案治疗内翻型膝关节炎的近期疗效比较

发布时间：2018-05-29 16:35

本文选题：内翻型膝关节炎 + 腓骨近端截骨术　；参考：《山东医药》2017年33期

【摘要】：目的探讨不同截骨手术方案治疗内翻型膝关节炎的近期疗效。方法选取内翻型膝关节炎患者60例,随机分为观察组和对照组各30例,观察组采用腓骨近端截骨术方案治疗,对照组采用胫骨高位截骨术方案治疗。比较两组患者住院时间、出血量、手术时间和并发症情况等;分别在患者术前和术后3、6个月采用美国特种外科医院膝关节评分(HSS)和美国膝关节协会评分(KSS)标准对患者膝关节功能恢复程度进行判定;术后12、24、72h采用疼痛视觉模拟评分(VAS)评估膝关节前内侧不同状态下的疼痛程度。结果观察组手术耗时、住院时间均短于对照组,出血量低于对照组(P均0.05);两组术后3、6个月不同时间段HSS、KSS无统计学差异(P均0.05);与术前相比,术后3、6个月HSS、KSS均提高(P均0.05);与对照组相比,观察组术后不同时间段静息状态、运动状态下VAS逐渐降低(P均0.05)。结论腓骨近端截骨术治疗内翻型膝关节炎疗效与胫骨高位截骨术相当;但腓骨近端截骨术安全性更高,且术后疼痛感降低,更具有临床治疗优势。
[Abstract]:Objective to explore the short-term effect of different osteotomy for the treatment of varus knee arthritis. Methods 60 cases of varus knee arthritis were selected and divided into the observation group and the control group (30 cases each). The observation group was treated with peroneal proximal osteotomy, and the control group was treated with high tibial osteotomy. The time of hospitalization was compared between the two groups. Blood volume, operation time, and complications were determined before and after 3,6 months of the patient's knee joint score (HSS) and American Knee association score (KSS), respectively, and the postoperative 12,24,72h was evaluated by pain visual analogue score (VAS) for the assessment of the medial knee joint. Results in the same state of pain, the time of operation in the observation group was shorter than that in the control group and the amount of bleeding was lower than that of the control group (P 0.05). There was no statistical difference between the two groups at different time periods HSS and KSS (P 0.05) in the two months after the operation (P 0.05), and 3,6 months after the operation (P 0.05). Compared with the control group, the group was compared with the control group at different time after the operation. In the resting state, VAS decreased gradually (P 0.05). Conclusion proximal peroneal osteotomy for the treatment of varus knee osteoarthritis is equivalent to that of high tibial osteotomy, but the proximal peroneal osteotomy is more safe and less painful after operation, and has a better clinical therapeutic advantage.
【作者单位】：盐城市第一人民医院;
【分类号】：R687.31

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