关节镜下广泛与有限清理术治疗不同病变程度膝关节骨性关节炎疗效分析  

Effects of extensive or limited arthroscopic debridement in varying degrees of knees osteoarthritis

作　　者：杨军[1] 童伟[1] 朱勇军[1] 许培炼 邵鉴魁[1] 况尚如 

机构地区：[1]重庆市第九人民医院骨一科,重庆400700 [2]重庆市北碚区卫生局医政科,重庆400700

出　　处：《局解手术学杂志》2015年第3期292-294,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的比较关节镜下广泛清理术与有限清理术治疗不同病变程度膝关节骨性关节炎的临床疗效。方法选择32例行关节镜下广泛清理术治疗的膝关节骨性关节炎患者为观察组,选择30例行关节镜下有限清理术患者为对照组,比较2组患者关节功能优良率、Lysholm评分及视觉模拟评分(VAS)的差别。结果随访1年,观察组与对照组关节功能优良率分别为90.0%和91.4%,差别无统计学意义(P>0.05);观察组Ⅱ级骨性关节炎患者Lysholm评分显著高于对照组(P<0.05);2组Ⅰ级和Ⅲ级骨性关节炎患者Lysholm评分未见显著差别(P>0.05);2组治疗后1年VAS评分差别无统计学意义(P>0.05)。结论关节镜下广泛清理术与有限清理术治疗膝关节骨性关节炎临床疗效相当,但前者对于Ⅱ级病变患者疗效更为理想。Objective To compare the clinical effects of extensive or limited arthroscopic debridement in varying degrees of knees osteo-arthritis. Methods 32 cases with knees osteoarthritis who underwent extensive debridement under arthroscopy were selected as the observa-tion group, and 30 cases with knees osteoarthritis who underwent limited debridement were selected as the control group. The excellent rate＆nbsp;of joint function, Lysholm and VAS scores were compared between the two groups. Results The excellent rate of joint function were 90. 0%and 91. 4% in observation group and control group respectively, without significant difference （P〉0. 05）. Lysholm scores of patients with grade Ⅱ osteoarthritis was much higher in observation group than that in control group after operation （P0. 05）. No statistically significant difference of VAS scores on 1 year after operation were found （P〉0. 05）. Conclusion Extensive debridement and limited debridement under arthroscopy have similar effects for knees osteoarthritis. Extensive arthroscopic debridement is an ideal treatment method for Ⅱ grade of knees osteoarthritis.

关 键 词：膝关节骨性关节炎 关节镜 广泛清理术 有限清理术 

分 类 号：R684.3[医药卫生—骨科学]