摘要
目的研究个性化新轴心式膝关节假体在膝关节周围恶性肿瘤骨破坏治疗中的应用效果.方法选取该院2015年1月—2020年4月收治的60例膝关节周围恶性肿瘤骨破坏患者为研究对象,依据术式不同分为对照组与观察组,各30例.对照组采用截肢手术治疗,观察组采用个性化新轴心式膝关节假体治疗.对比两组临床疗效.结果治疗前,两组膝关节功能评分、膝关节活动度、各项生存质量评分比较,组间差异无统计学意义(P>0.05).治疗后,两组膝关节功能评分、膝关节活动度、各项生存质量评分均较各组治疗前改善,且观察组改善幅度大于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率10.00%、膝关节周围恶性肿瘤复发率6.67%均高于对照组的3.33%、0.00%,组间差异有统计学意义(P<0.05).结论在膝关节周围恶性肿瘤骨破坏治疗中,个性化新轴心式膝关节假体更有助于改善患者的生存质量,但却存在着并发症及复发风险高的不足.
Objective To study the application effect of personalized new axial knee joint prosthesis in the treatment of bone destruction of malignant tumors around the knee joint.Methods A total of 60 patients with malignant tumor bone destruction around the knee who were admitted to the hospital from January 2015 to April 2020 were selected as the research objects.According to the different surgical procedures,they were divided into a control group and an observation group,with 30 cases in each group.The control group was treated with amputation,and the observation group was treated with personalized new axial knee prosthesis.Compare the clinical efficacy of the two groups.Results Before treatment,there was no statistically significant difference between the two groups of knee joint function scores,knee joint range of motion,and various quality of life scores(P>0.05).After treatment,the knee function scores,knee range of motion,and quality of life scores in the two groups were improved compared with those before treatment,and the improvement in the observation group was greater than that in the control group,and the difference between the groups was statistically significant(P<0.05).The incidence of complications in the observation group was 10.00%,and the recurrence rate of malignant tumors around the knee joint was 6.67%,both were higher than 3.33%and 0.00%of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion In the treatment of bone destruction of malignant tumors around the knee joint,the personalized new axial knee prosthesis is more helpful to improve the patient's quality of life,but it has the disadvantage of complications and high risk of recurrence.
作者
刘胜平
LIU Shengping(Department of Arthritis and Osteopathy,Guangdong North People's Hospital,Shaoguan Guangdong,512000,China)
出处
《反射疗法与康复医学》
2021年第17期89-92,共4页
Reflexology And Rehabilitation Medicine
基金
韶关市卫生计生科研项目(Y17051)
关键词
膝关节周围恶性肿瘤
骨破坏
个性化新轴心式膝关节假体
膝关节功能
生存质量
并发症
复发
Malignant tumors around the knee joint
Bone destruction
Personalized new axial knee prosthesis
Knee joint function
Quality of life
Complications
Recurrence
