内翻型膝关节炎的阶梯治疗

发布时间：2019-03-30 23:52

【摘要】：随着我国逐渐步入老龄化社会,退行性膝关节炎发病率正在逐年增高,而其中又以内翻型较为多见。由于膝关节骨性关节炎(KOA)病情发展隐匿,病因及发病机制研究仍不十分清楚,因此针对该病的早期诊断及治疗显得尤为重要。详尽的查体、完善的影像学检查为早期诊断KOA提供了理论依据,也催发了针对该病的多种早期诊疗方案。由于目前各学科发展水平的不同,以及人们对KOA严重程度认识的混乱,使得该病治疗的矛盾点逐渐由延误治疗转向为过度诊疗。如何根据病情进展的不同阶段,制定一套针对性强、行之有效的治疗方案,避免延误治疗及过度诊疗的发生,成为了一项新的课题。本文就目前临床常见的诊疗方案进行逐一介绍,分述各适应症及优缺点,并着重体现各方案在不同KOA发病阶段治疗上的优势所在。
[Abstract]:With our country gradually entering the aging society, the incidence of degenerative knee arthritis is increasing year by year, and the type of introversion is more common. The etiology and pathogenesis of knee osteoarthritis (KOA) are still unknown, so the early diagnosis and treatment of the disease is very important. Detailed physical examination and perfect imaging examination provide the theoretical basis for the early diagnosis of KOA and prompt the early diagnosis and treatment of the disease. Due to the different level of development of various disciplines and the confusion of people's understanding of the severity of KOA, the contradiction in the treatment of the disease has gradually changed from delayed treatment to over-diagnosis and treatment. According to the different stages of the disease progress, how to formulate a set of targeted, effective treatment plan, to avoid delayed treatment and the occurrence of excessive diagnosis and treatment, has become a new topic. In this paper, the common clinical diagnosis and treatment schemes are introduced one by one, and the indications, advantages and disadvantages are described, and the advantages of each scheme in the treatment of different stages of KOA are emphasized.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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