单髁置换术与全膝置换治疗膝关节骨性关节炎患者临床近期疗效比较  

Short-term clinical efficacy of unicompartment versus total knee arthroplasty in treatment of knee osteoarthritis

作　　者：谢宗鹏[1] 

机构地区：[1]南阳市第一人民医院骨科,473010

出　　处：《国际医药卫生导报》2017年第3期364-366,共3页International Medicine and Health Guidance News

摘　　要：目的探究单髁置换术与全膝置换治疗膝关节骨性关节炎患者临床近期疗效。方法抽取2014年5月至2016年3月本院接收的64例膝关节骨性关节炎患者，根据手术方式不同分为对照组（n=32）与研究组（n=32）。研究组行单髁置换术，对照组行全膝置换术。对比两组手术情况及手术前后疼痛程度（VAS）、关节活动度、膝关节功能（HSS）变化情况，统计两组并发症发生率。结果研究组手术时间为（56．12±17．26）min，术中出血量为（144．47±28．71）ml，明显少于对照组，差异均有统计学意义（均P〈0．05）：术前两组VAS评分、关节活动度、HSS评分对比差异均无统计学意义（均P〉0．05），术后研究组VAS评分为（2．08±0．72）分、关节活动度为（121．62±5．06）、HSS评分为（85．10±7．77）分，均优于对照组，差异均有统计学意义（均P〈0．05）；研究组并发症发生率（6．26％）与对照组（3．13％）对比差异无统计学意义（P〉0．05）。结论采用单髁置换术治疗膝关节骨性关节炎患者近期效果显著，可减少手术用时及术中出血量，改善关节疼痛、活动度及功能，且不会增加并发症发生率，具有安全性。Objective To explore the short-term clinical efficacy of unicompartment versus total knee arthroplasty in the treatment of knee osteoarthritis. Methods 64 cases of osteoarthritis of knee joint treated at our hospital from May, 2014 to March, 2016 were selected. According to the different surgical methods, they were divided into a control group （n=32） and a study group （n=32）. The study group were treated with unicompartment knee arthroplasty and the control group total knee arthroplasty. The pain degree （VAS）, range of motion, and knee function （HSS） were compared between the two groups before and after operation; and the incidences of complications in the two groups was statistically analyzed. Results The operation time and bleeding volume were （56.12 ± 17.26） min and （144.47 ± 28.71） ml in the study group, which were significantly less than those in the control group, with statistical differences （P 〈 0.05）. There were no statistical differences in VAS score, range of motion, and HSS score between these two groups before operation （P 〉 0.05）; after operation, the VAS score, range of motion, and HSS score were （2.08 ± 0.72）, （121.62 ± 5.06）, and （85.10 ±7.77） in the study group, which were better than those in the control group, with statistical differences （P〈 0.05）. The incidence of complications was 6.26% in the study group and was 3.13% in the control group, with no statistical difference （P 〉 0.05）. Conclusion The effect of unicompartment arthroplasty in the treatment of patients with knee osteoarthfitis is remarkable and safe, can reduce the operation time and intraoperative bleeding volume and improve joint pain, range of motion, and function, and does not increase the incidence of complications.

关 键 词：单髁置换术 全膝置换术 膝关节骨性关节炎 

分 类 号：R687.4[医药卫生—骨科学]