关节镜微骨折治疗膝关节软骨缺损的临床研究  

Clinical study on treatment of articular carti： lage defects in the knee arthroscopic micro- fracture

作　　者：唐扬伟 邓思然[1] 黄梅军 梁志建[1] 孔祥泉[1] 

机构地区：[1]广东省怀集县人民医院骨科二区,广东肇庆526400

出　　处：《转化医学电子杂志》2014年第2期53-54,共2页E-Journal of Translational Medicine

摘　　要：目的：探讨和分析膝关节软骨缺损应用关节镜下微骨折术治疗的临床治疗效果．方法：将45例经临床确诊的膝关节软骨缺损患者纳入本次选择范围，将患者分为两组，分别为治疗组和对照组，25例治疗组患者接受关节镜下微骨折术，其余20例对照组患者接受关节镜下关节清理术，分别对两种不同治疗方式的临床治疗效果进行观察和比较．结果：治疗组患者HSS评分明显高于对照组，两组评分差异显著，具有统计学意义（P〈0．05）．治疗组共23例患者治疗有效，治疗总有效率为92％，对照组共12例患者治疗有效，治疗总有效率为60％，两组患者治疗效果差异显著，具有统计学意义（P〈0．05）．结论：将关节镜下微骨折术应用于膝关节软骨缺损治疗中治疗效果显著．AIM： To investigate and analyze the clinical effects of microfracture surgery treatment under the application of articu- lar cartilage defects arthroscopy. METHODS： 45 cases of clini- cally diagnosed knee cartilage defects were included in this range of options, patients were divided into two groups, namely, the treatment group and the control group. 25 cases in the treatment group received arthroscopic microfracture surgery, and the remai- ning 20 patients in the control group received arthroscopic de- bridement. Respectively, the clinical effectiveness of different forms of treatment were observed and compared. RESULTS： The HSS score in the treatment group was significantly higher than the control group. The differences of two groups＇ score have statistical significance （P 〈 0.05 ）. 23 cases of the treatment group were treated effectively and the total efficiency was 92%, while 12 ca- ses of the control group were treated effectively and the total effi- ciency was 60%. The differences of two groups＇ score have statis- tical significance （P 〈0. 05）. CONCLUSION： The effects of arthroscopic microfracture surgery in the treatment of knee carti- lage defects are significant.

关 键 词：关节镜 微骨折术 膝关节软骨缺损 

分 类 号：R687.4[医药卫生—骨科学]