膝关节骨性关节炎关节镜清理术的疗效评价  

An assessment of the efficacy of arthroscopic debridement for osteoarthritis of the knee

作　　者：鄢宏[1] 李美才[1] 岑景文[1] 

机构地区：[1]深圳市第二人民医院骨科,深圳518035

出　　处：《中国微创外科杂志》2005年第5期362-363,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨关节镜清理术治疗膝关节骨性关节炎的疗效. 方法回顾分析44例62个膝关节骨性关节炎行关节镜清理术的临床资料. 结果随访2～2.5年,术后0.5、1、2年的优良率分别为85.5%(53/62)、77.4%(48/62)、66.1%(41/62),术后2年疗效显著低于术后0.5年(χ2＝6.332,P＝0.012). 结论关节镜清理术可以有效地缓解患者的关节肿痛等症状,延缓软骨退变的进程.病变程度轻者疗效较好,但疗效随着时间的延长而降低.Objective To study the curative efficacy of arthroscopic debridement in the management of osteoarthritis of the knee. Methods A retrospective analysis was made on clinical records of 44 cases of knee osteoarthritis (62 knee joints) treated with arthroscopic debridement. Results All the patients were followed for 2~2.5 years. The rates of excellent or good results were 85.5% (53/62) at 6 months after the surgery, 77.4% (48/62) at 1 year after the surgery, and 66.1% (41/62) at 2 years, respectively. The curative results were significantly worse at 2 years after the surgery than at 6 months ( χ 2=6.332, P =0.012). Conclusions Arthroscopic debridement is effective for the relief of painful and swollen knee joint, and postpones the appearance of articular cartilage degeneration. The efficacy of the treatment is apparent in mild cases, but the treatment will be less effective as time goes on.

关 键 词：骨性关节炎 关节镜 膝关节 

分 类 号：R687.4[医药卫生—骨科学]