等离子刀与机械清理在治疗膝关节骨关节炎中的作用分析  

Prospective analysis of radiofrequency versus mechanical debridement in treatment of knee osteoarthritis

作　　者：王黎明[1] 桂鉴超[1] 宋华荣[1] 黄河[1] 

机构地区：[1]南京医科大学南京第一医院骨科,南京市210006

出　　处：《中华创伤骨科杂志》2004年第7期798-800,804,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的比较等离子刀与机械清理在治疗膝关节骨关节炎中的作用。方法采用随机对照前瞻性研究,等离子刀治疗组24例,机械刨削对照组36例,全部病例获得6～24个月(平均12.4个月)随访。随访结果采用Lysholm膝关节功能评分。结果对于软骨退变Ⅱ级和Ⅱ～Ⅲ级的病例,等离子刀治疗组的膝关节功能评分优于对照组(P<0.05);而对于软骨退变Ⅲ～Ⅳ级的病例,等离子刀治疗组与对照组无明显差异(P>0.05)。结论等离子刀技术对于软骨退变Ⅲ级以下的病例是首选治疗方法。Objective To analyse the differences between radiofrequency and mechanical debridement in treatment of knee osteoarthritis. Methods Randomized control and prospective case study were designed, with 24 cases in the radiofrequency treatment group and 36 cases in the mechanical debridement group (the control). All the cases were followed up for an average of 12.4 months (ranging 6 to 24months) according to Lysholm knee function evaluation score. Results The Lysholm scores for the treatment group were superior to those in the control group in cases of Outbridge grades Ⅱ and Ⅱ-Ⅲ chondromalacia (P< 0.05), while there was no significant difference between these 2 groups in cases of Outbridge grades Ⅲ-Ⅳ chondromalacia (P >0.05). Conclusion Radiofrequency is the first choice in treatment of chondromalacic lesions of no more than Outbridge grade Ⅲ.

关 键 词：关节镜 软骨成形术 射频消融 骨关节炎 

分 类 号：R687.3[医药卫生—骨科学]