本文選題：關(guān)節(jié)鏡下清理術(shù)　切入點：髁間窩成形術(shù)　出處：《重慶醫(yī)學(xué)》2017年11期

【摘要】：目的探討關(guān)節(jié)鏡下清理術(shù)聯(lián)合髁間窩成形術(shù)對老年膝骨關(guān)節(jié)炎的治療效果和安全性。方法選擇2012年6月至2014年12月該院收治的老年膝骨關(guān)節(jié)炎患者68例,分為A組和B組,每組34例。A組給予關(guān)節(jié)鏡下清理術(shù),B組給予關(guān)節(jié)鏡下清理術(shù)聯(lián)合髁間窩成形術(shù)。比較兩組患者術(shù)后3個月、6個月和12個月視覺模擬評分法(VAS)評分、Lysholm評分、WOMAC評分和關(guān)節(jié)活動度,統(tǒng)計兩組患者術(shù)后出現(xiàn)的不良反應(yīng)事件及其發(fā)生率。結(jié)果術(shù)后兩組患者VAS評分和WOMAC評分均顯著性降低(P0.05);與A組比較,B組患者在術(shù)后12個月VAS評分和WOMAC評分更低(P0.05)。術(shù)后兩組患者的Lysholm評分均升高(P0.05),B組患者在術(shù)后12個月Lysholm評分顯著高于A組(P0.05)。術(shù)后兩組患者的關(guān)節(jié)活動度均得到顯著改善(P0.05),術(shù)后6個月和12個月B組患者的膝關(guān)節(jié)活動度明顯優(yōu)于A組(P0.05)。術(shù)后早期關(guān)節(jié)腫脹是兩組患者出現(xiàn)的不良反應(yīng)事件,兩組比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論關(guān)節(jié)鏡下清掃聯(lián)合髁間窩成形術(shù)可以有效緩解患者關(guān)節(jié)疼痛,提高治療效果,改善患者膝關(guān)節(jié)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.
【作者單位】： 江西省新余市人民醫(yī)院骨一科;
【分類號】：R687.4

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