膝骨关节炎关节镜治疗指征及手术方法探讨  

Indications and techniques of arthroscopic treatment for knee osteoarthritis

作　　者：黄迅悟[1] 常青[1] 孙继桐[1] 冯会成[1] 隰建成[1] 

机构地区：[1]解放军第309医院骨科,北京100091

出　　处：《中国骨肿瘤骨病》2011年第6期539-542,585,共5页Chinse Journal Of Bone Tumor And Bone Disease

摘　　要：目的探讨膝骨关节炎关节镜治疗指征及手术方法。方法回顾性分析2004年1月至2006年12月应用关节镜治疗、年龄>45岁膝骨关节炎患者305例412膝,统计其性别、年龄、镜下病理变化、镜下手术方法 ,术前及术后2年膝关节功能HSS评分。结果获得2年以上随访有289膝,其中单膝113膝,双膝88例176膝,随访率70%。在随访的289膝中,优:78膝,良:108膝,中:64膝,差:39膝,优良率64%。结论关节镜治疗膝骨关节炎需要根据不同病理改变采取针对性治疗。选择合适的指征,手术中精确、合理的关节镜治疗,有希望获得理想的疗效。Objective To evaluate the indications and techniques of arthroscopic treatment for knee osteoarthritis. Methods A retrospective analysis was conducted on 305 patients （412 knees, aged over 45 years） with osteoarthrifis treated in our hospital through arthroscopy from January 2004 to December 2006. We collected the data of gender, age, pathological changes under the arthroscope, and arthroscopic procedures. Hospital for Special Surgery （HSS） scoring system was applied to detect the function of the knee Preoperatively and two years postoperatively. Results 201 patients （289 knees） were followed up more than 2 years. Among them, 113 patients were of unilateral knee osteoarthritis, and 88 cases （176 knees） of bilateral knee osteoarthritis. The follow-up rate was 70%. Among the 289 knees followed up, 78 were excellent, 108 good, 64 fair, and 39 bad, The overall excellent and good rate was 64%. Conclusions Arthroscopic treatment for knee osteoarthritis should be individualized for each patient according to their different pathological changes. Satisfactory clinical outcome can be achieved through proper selection of indications, and accurate appropriate intraoperative arthroscopic t^rocedures.

关 键 词：膝关节 骨关节炎 关节镜 

分 类 号：R684.3[医药卫生—骨科学]