关节镜下等离子射频消融治疗膝关节骨性关节炎对患者预后及治疗满意度的影响  

The impact of arthroscopic plasma radiofrequency ablation on the prognosis and treatment satisfaction of patients with knee osteoarthritis

作　　者：张林 朱旭[2] 赵峰[2] 桂琦[2] Zhang Lin;Zhu Xu;Zhao Feng;Gui Qi(Surgery Department of the Second Hospital of Tongzhou District,Beijing,101102 yuan;Joint Surgery Department of Beijing Luhe Hospital Affiliated to Capital Medical University,Beijing 101100)

机构地区：[1]北京市通州区第二医院外科,北京101102 [2]首都医科大学附属北京潞河医院关节外科,北京101100

出　　处：《生命科学仪器》2023年第3期80-83,共4页Life Science Instruments

摘　　要：目的:探讨关节镜下等离子射频消融治疗膝关节骨性关节炎(knee osteoarthritis, KOA)对患者预后及治疗满意度的影响。方法:选取2021年6月-2022年6月我院收治的KOA患者96例,随机分为两组,对照组应用传统关节镜手术,研究组应用关节镜下等离子射频消融。观察比较预后、关节活动度、并发症。结果:研究组术后2个月、术6个月的膝关节Lysholm评分为(65.9±7.6)分、(85.4±12.4)分,显著高于对照组术后2个月、术6个月的膝关节Lysholm评分(54.8±4.9)分、(75.6±10.3)分更高(P<0.05),研究组预后更好;研究组术后2个月、术后6个月的关节活动度为(67.4±4.7)°、(86.9±6.7)°,显著高于对照组术后2个月、术后6个月的关节活动度(45.6±3.9)°、(78.4±4.5)°更高(P<0.05);研究组满意度为97.9%,显著高度对照组的满意度77.1%更高(P<0.05)。研究组住院时间为(9.6±1.1)d,显著短于对照组的住院时间(14.6±2.4)d(P<0.05),研究组医疗费用为(1.3±0.4)万元,显著低于对照的医疗费用(1.9±0.6)万元。结论:KOA患者使用关节镜下等离子射频消融治疗,可显著提升预后、关节活动度、满意度,同时还可以显著缩短患者的住院时间,降低患者的医疗费用。Objective:To explore the impact of arthroscopic plasma radiofrequency ablation on the prognosis and treatment satisfaction of knee osteoarthritis(KOA)patients.Method:96 KOA patients admitted to our hospital from June 2021 to June 2022 were selected and randomly divided into two groups.The control group received traditional arthroscopic surgery,while the study group received arthroscopic plasma radiofrequency ablation.Observe and compare prognosis,joint range of motion,and complications.Result:The Lysholm scores of the knee joint in the study group were(65.9±7.6)points and(85.4±12.4)points at 2 and 6 months after surgery,significantly higher than those in the control group at 2 and 6 months after surgery(54.8±4.9)points and(75.6±10.3)points,respectively(P<<0.05),indicating a better prognosis in the study group;The joint mobility of the study group was(67.4±4.7)。and(86.9±6.7)°at 2 and 6 months postoperatively,significantly higher than that of the control group(45.6±3.9)。and(78.4±4.5)°at 2 and 6 months postoperatively(P<0.05);The satisfaction rate of the research group was 97.9%,while the satisfaction rate of the significantly higher control group was 77.1%(P<0.05).The hospitalization time of the study group was(9.6±1.1)days,significantly shorter than the hospitalization time of the control group(14.6±2.4)days(P<0.05),and the medical expenses of the study group were(1.3±0.4)thousand yuan,significantly lower than the medical expenses of the control group(1.9±0.6)thousand yuan..Conclusion:The use of arthroscopic plasma radiofrequency ablation for KOA patients can significantly improve prognosis,joint mobility,and satisfaction.At the same time,it can significantly shorten the patient's hospitalization time and reduce their medical expenses.

关 键 词：关节镜 射频消融 等离子刀 膝关节骨性关节炎 预后 满意度 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学]