关节镜清理联合髌股周围去神经化手术治疗髌股关节炎的临床疗效

发布时间：2019-03-05 19:11

【摘要】：目的探讨关节镜清理联合髌股周围去神经化手术治疗髌股关节炎的临床疗效。方法选取2014年1月至2015年9月该院收治的髌股关节炎膝前疼痛患者100例,采用随机数字表法将患者分为观察组和对照组,每组各50例。对照组给予关节镜清理术治疗,观察组给予关节镜清理术联合髌股周围去神经化术治疗。比较两组患者治疗前、后的视觉模拟评分(VAS)及治疗后的Lysholm和Kujala评分。结果治疗前两组患者的VAS比较差异无统计学意义(P0.05)。治疗后两组患者的VAS均显著降低,且观察组患者的VAS低于对照组(P0.05)。治疗后观察组、对照组患者的Lysholm评分总分分别为(80.93±4.21)、(74.29±4.48)分,观察组患者跛行、关节绞索、承受重量、疼痛、不稳定、上下楼、关节肿痛、下蹲起立的膝关节Lysholm评分均明显优于对照组(P0.05);治疗后观察组、对照组患者的Kujala评分总分分别为(76.48±6.54)、(68.34±6.22)分,观察组患者跛行、步行距离、承受重量、下蹲、上下楼、跳跃、跑步、膝关节疼痛、长时间屈膝、髌股异常活动、膝前肿胀、膝关节曲弯受限、大腿肌肉萎缩的髌骨Kujala评分均明显优于对照组(P0.05)。结论关节镜清理联合髌股周围去神经化手术治疗髌股关节骨关节炎能够明显缓解疼痛,改善膝关节功能和髌股关节功能。
[Abstract]:Objective to investigate the clinical effect of arthroscopic cleaning combined with peripatellofemoral neurosurgery in the treatment of patellofemoral arthritis. Methods from January 2014 to September 2015, 100 patients with anterior knee pain of patellofemoral arthritis were randomly divided into observation group (n = 50) and control group (n = 50). The patients in the control group were treated with arthroscopic cleaning and the observation group were treated with arthroscopic denervation combined with peri-patellofemoral neurolysis. Visual analogue scores (VAS) before and after treatment and Lysholm and Kujala scores after treatment were compared between the two groups. Results there was no significant difference in VAS between the two groups before treatment (P0.05). After treatment, the VAS of the two groups decreased significantly, and the VAS of the observation group was lower than that of the control group (P0.05). After treatment, the total score of Lysholm in observation group and control group was (80.93 卤4.21), (74.29 卤4.48 respectively. The patients in observation group had claudication, joint noose, weight bearing, pain, instability, upper and lower stairs, joint swelling and pain. The knee Lysholm scores of squatting and standing knee joints were significantly better than those of the control group (P0.05). After treatment, the total score of Kujala in observation group and control group was (76.48 卤6.54), (68.34 卤6.22). The patients in observation group had claudication, walking distance, weight bearing, squat, downstairs, jumping, running and knee joint pain. The Kujala scores of knee flexion, abnormal patellofemoral activity, anterior knee swelling, limited bending of knee joint and atrophy of thigh muscle were significantly better than those in control group (P0.05). Conclusion arthroscopic cleaning combined with peripatellofemoral demineralization can relieve pain and improve the function of knee joint and patellofemoral joint in patients with patellofemoral osteoarthritis.
【作者单位】：贵州省六盘水市钟山区人民医院骨外科;
【基金】：贵州省六盘水市科技项目(52020-2014LPS33289)
【分类号】：R687.4

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