关节镜治疗与保守方法治疗早期膝关节骨关节炎的疗效比较  

Comparison of the efficacy between arthroscopic treatment and conservative treatment in early osteoarthritis of knee joint

作　　者：王启伟[1] 李行星 窦强兵[1] 谢晓东[1] 

机构地区：[1]安徽医科大学附属六安医院骨科,安徽六安237002

出　　处：《蚌埠医学院学报》2017年第4期440-442,共3页Journal of Bengbu Medical College

摘　　要：目的:比较关节镜治疗与保守方法治疗早期膝关节骨关节炎(OA)的疗效差异。方法:回顾性分析膝关节OA病人189例,其中84例接受关节镜治疗,105例接受保守治疗。记录并比较2组症状持续时间、治疗前患膝站立位平片KellgrenLawrence(K-L)分级、关节绞锁症状、半月板破裂与否、固定痛点及治疗前后Lysholm功能评分等指标差异。结果:2组治疗后Lysholm评分较治疗前明显升高(P<0.01)。而2组治疗后Lysholm评分升高程度并无明显差异(P>0.05)。结论:关节镜治疗与保守方法治疗对早期膝关节OA均有良好疗效。Objective：To compare the clinical efficacy between arthroscopic treatment and conservative treatment in early osteoarthritis（OA） of knee joint.Methods：The clinical data of 189 patients with OA of knee joint were retrospectively analyzed.Eighty-four patients were treated with arthroscopy,and 105 cases were treated with conservative method.The duration of symptom,preoperative knee standing radiograph of Kellgren-Lawrence（K-L） grade,articular interlocking symptom,fixed pain point and score of the anterior Lysholm before and after treatment between two groups were compared.Results：After treatment,the Lysholm scores were significantly higher than those of before treatment in two groups（P〈0.01）,and the difference of the increasing degree of the Lysholm score after treatment between two groups was statistically significant（P〈0.01）.Conclusions：Both the clinical effects of arthroscopic treatment and conservative treatment in early OA of knee joint are good.

关 键 词：骨关节炎 关节镜 保守疗法 

分 类 号：R684.3[医药卫生—骨科学]