去神经化术在髌股关节炎膝前痛治疗中的应用

发布时间：2018-10-22 09:58

【摘要】：目的探究膝关节镜下清理术联合去神经化术对髌股关节炎膝前痛的疗效。方法选取2012年9月-2015年9月该院收治的60例髌股关节炎膝前痛患者为研究对象,采用随机数表法将患者分为观察组和对照组,各30例。给予对照组患者关节镜清理术治疗,给予观察组患者关节镜清理术联合髌骨周围去神经化术治疗。对比观察组和对照组患者术前和术后3个月的美国西部Ontario和McMaster大学骨关节炎指数(WOMAC)评分、Lysholm评分和Kujala评分。结果术前观察组和对照组患者各项评分差异均无统计学意义(P0.05)。观察组和对照组患者术后3个月的各项评分较术前均显著改善,且观察组患者的WOMAC评分、Lysholm评分和Kujala评分较对照组患者均较佳,差异有统计学意义(P0.05)。术后3个月观察组30例患者出现2例感染和1例血管神经损伤,对照组30例患者出现1例感染和1例关节活动受限,两组患者术后不良反应差异无统计学意义(P0.05)。结论给予髌股关节炎膝前痛患者关节镜清理术联合髌骨周围去神经化术治疗能够缓解疼痛,改善髌股关节功能和临床疗效,可以在临床上进一步推广和使用。
[Abstract]:Objective to investigate the efficacy of arthroscopic debridement combined with demineralization in the treatment of anterior genicular pain in patellofemoral arthritis. Methods from September 2012 to September 2015, 60 patients with anterior knee pain of patellofemoral arthritis were selected and divided into observation group (n = 30) and control group (n = 30). The patients in the control group were treated with arthroscopic debridement and the patients in the observation group were treated with arthroscopic debridement combined with peripatellar denervation. The (WOMAC) score, Lysholm score and Kujala score of Ontario and McMaster university osteoarthritis index were compared between the observation group and the control group before and 3 months after operation. Results there was no significant difference between the preoperative observation group and the control group (P 0.05). The scores of WOMAC, Lysholm and Kujala in the observation group and the control group were significantly improved 3 months after operation than those in the control group (P0.05). Three months after operation, 30 patients in the observation group had 2 infections and 1 patient had vascular and nerve injury, 30 patients in the control group had 1 infection and 1 patient had limited joint movement, and there was no significant difference between the two groups in postoperative adverse reactions (P0.05). Conclusion arthroscopic debridement combined with peripatellar denervation in patients with anterior genicular pain of patellofemoral arthritis can relieve pain, improve patellofemoral joint function and clinical efficacy, and can be further popularized and used in clinic.
【作者单位】：温州医科大学附属第一医院(上蔡村院区)骨科;
【分类号】：R687.4

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