膝关节疾病合并下肢静脉血栓的关节镜治疗  

The treatment of arthroscopic surgery on knee joint disease accompanied by thrombosis of lower limb

作　　者：冯伟 许建中[2] 辛若冰[2] 吴增浦[2] 

机构地区：[1]河南省洛阳市正骨医院,河南洛阳471002 [2]郑州大学第一附属医院骨外科,河南郑州450052

出　　处：《中国内镜杂志》2011年第9期950-953,共4页China Journal of Endoscopy

摘　　要：目的探讨膝关节疾病同时伴有下肢血栓的关节镜治疗方法及临床疗效。方法对2007年12月～2010年1月郑州大学一附院骨科收治的30例膝关节疾病同时伴有下肢血栓患者临床资料进行分析,其中骨性关节炎患者11例,交叉韧带损伤者19例,左膝20例,右膝10例,在关节镜下分别对之进行关节清理、交叉韧带重建,术后早期给以抗炎、抗凝、扩容,同时加强患肢肌力和功能锻炼。结果 30例患者全部成功,随访6～25个月,术后均无出现下肢血栓,无手术远期并发症,疗效按Lysholm及Hss膝关节评分标准进行评定,Lysholm评分由术前(50.0±6.0)分提高到术后(85.5±3.5)分(t=30.267,P=0.000);Hss膝关节评分由术前(49.5±5.5)分提高到术后(87.0±2.5)分(t=33.609,P=0.000);P<0.05,差异均有显著性。结论合并下肢血栓并不妨碍关节镜手术的进行,关节镜手术具有创伤小、恢复快、并发症少及对关节功能影响小等优点。[Objective] To explore the methods and therapeutic effect of arthroscope on knee joint disease accompanied by thrombosis of lower limb.[Methods] 30 patients with knee joint disease accompanied by thrombosis of lower limb,been cured from December 2007 to January 2010,all come from Department of Orthopaedics,First Affiliated Hospital,Zhengzhou University.Of which 11 patients are osteoarthritis,19 cases are cruciate ligament injury.20 cases are left keen,while 10 cases are right keen.Arthroscopic treatment was carried out on the clean-up,cruciate ligament reconstruction.Give early postoperative inflammatory,anticoagulant,expansion,while strengthening the limb muscle strength and functional exercise.[Results] All 30 patients successfully,no long-term complications of surgery,were followed up for 10-24 months,the efficacy rates were evaluated by Lysholm and Hss.The Lysholm scores ascended from（50±6.0） to（85.5±3.5）（t =30.267,P =0.000）.The Hss scores ascended from（49.5±5.5） to（87.0±2.5）（t=33.609,P =0.000）.Using SPSS 16.0 software using matching t test analysis,P 0.05,with a statistical significance.[Conclusion] With lower limb thrombosis is not hamper combined surgery arthroscope,Arthroscopic surgery has a small,trauma and rapid recovery features.

关 键 词：膝关节 下肢血栓 关节镜 

分 类 号：R684[医药卫生—骨科学]