摘要
目的对比分析全膝关节置换术与关节镜下滑膜组织切除术治疗膝关节色素沉着绒毛结节性滑膜炎的临床效果及安全性。方法选取2010年1月—2015年6月郑州大学第一附属院收治的112例膝关节色素沉着绒毛结节性滑膜炎患者,根据手术方式分为两组,各56例。A组行全膝关节置换术,B组行关节镜下滑膜组织切除术。对两组患者手术前后膝关节活动度、膝关节功能、术后并发症发生率及1年后复发率进行统计分析。结果手术前,两组患者膝关节活动度及膝关节功能评分比较,差异无统计学意义(P>0.05),术后3个月,A组膝关节活动度及膝关节功能评分显著优于B组,差异有统计学意义(P<0.05);A组术后并发症发生率为3.57%,1年内未出现复发病例,B组术后并发症发生率为5.36%,复发率为3.57%,组间比较差异均无统计学意义(P>0.05)。结论膝关节色素沉着绒毛结节性滑膜炎采用全膝关节置换术治疗临床疗效更加显著,且术后并发症发生率及复发率较低,具有一定临床价值,值得推广运用。
Objective To compare the clinical effect and safety between total knee arthroplasty and arthroscopic synovectomy in the treatment of knee joint pigmented villonodular synovitis. Methods From January 2010 to June 2015,112 patients with knee joint pigmented villonodular synovitis in our hospital were divided into group A and group B according to surgical approach,each group 56 cases. The group A underwent total knee arthroplasty,and the group B underwent arthroscopic synovectomy. The knee joint activity,knee function,postoperative complication rate and recurrence rate after 1 year were analyzed statistically before and after operation. Results There were no significant differences in knee joint activity and knee function scores between the two groups before operation（ P〉0. 05）,at 3 months after operation,the group A were significantly better than those of group B,the difference was statistically significant（ P〈0. 05）; The incidence of postoperative complications in group A was 3. 57%,and there was no recurrence in 1 year,the incidence of postoperative complications in group B was 5. 36% and the recurrence rate was 3. 57%,There was no significant difference between the two groups（ P〉0. 05）. Conclusion Treatment of knee joint pigmented villonodular synovitis using total knee arthroplasty gets more significant clinical effect,and the incidence and recurrence rate of postoperative complications are low,which is of great clinical value and worthy of popularization.
出处
《医药论坛杂志》
2017年第7期12-14,共3页
Journal of Medical Forum
基金
河南省高等学校重点科研项目计划(16A320051)
