关节镜下膝关节骨关节炎关节清理术的疗效分析被引量：1

Treatment of Osteoarthritis of Knee by Arthroscopic Surgery

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摘要目的:观察285例(294膝)关节镜下膝关节骨关节炎患者手术治疗的方法与其疗效分析。方法:285例膝关节骨关节炎患者均采用关节镜下关节清理手术,并在术前后采用Lysholm评分评定膝关节功能进行。结果:术后经过平均(31.3±14.8)个月的随访,285例患者中37例(38膝)失访,余248例(256膝)患者Lysholm总分与手术前比较显著提高(84.8±5.0、54.6±6.4,P<0.001);Lysholm中的疼痛单项评分与手术前比较亦显著提高(19.7±4.7、6.7±3.0,P<0.001)。结论:关节镜术治疗膝关节骨关节炎创伤小、疗效佳,可以最大限度保存正常软骨,是行全膝关节置换术前的最佳治疗方案。 Objective： To observe the treatment and outcome of osteoarthritis by arthroscopic surgery. Methods： During the period between Jan. 2000 and Jan. 2005, 285 patients with osteoarthritis were treated by arthroscopic surgery in Xijing Hospital. They were followed up post-operatively for average 31.34-14.8 months （12 to 62）. The patients were assessed pre- and post-operatlvely by the Lysholm score. Results： Two hundred and forty-eight of total 285 patients were followed up. Lysholm score of the 248 patients showed a significam improvement from 54. 6 4- 6.4 pre-operation to 84.8 4- 5. 0 post-operation （t= 58. 1, P〈0.001）. Furthermore, the pain score was 6.74-3.0 pre-operation, and upgraded to 19.72：4.7 post-operation （t=36.5, P〈0.001）. Conclusion.. As the treatment of osteoarthritis of knee, arthroscopic surgery showed the superiority to maintain good function of knee and may be the best treatment before total knee replacement.

作者徐虎张春礼陈江浩范宏斌李明全

机构地区中国人民解放军第四军医大学西京医院骨科研究所中国人民解放军第四军医大学西京医院普外科

出处《中国康复》 2007年第1期16-17,共2页 Chinese Journal of Rehabilitation

关键词骨关节炎关节镜术膝关节关节清理 osteoarthritis arthroscopy knee debridement

分类号 R687.3 [医药卫生—骨科学]

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