关节镜辅助治疗踝关节骨性关节炎的临床疗效及影响因素分析  

Analysis of Clinical Efficacy and Influencing Factors of Arthroscopic Assisted Treatment of Ankle Osteoarthritis

作　　者：谭伟 孙妍 徐鹏陶 TAN Wei;SUN Yan;XU Peng-tao(Department of Orthopedics,Tengnan Hospital of Zaozhuang Mining Group,Jining,Shandong Province,277000 China;Department of Pharmacy,Tengnan Hospital of Zaozhuang Mining Group,Jining,Shandong Proivnce,277000 China;Emergency Department,Tengnan Hospital of Zaozhuang Mining Group,Jining,Shandong Province,277000 China)

机构地区：[1]枣庄矿业集团滕南医院骨科,山东济宁277000 [2]枣庄矿业集团滕南医院药剂科,山东济宁277000 [3]枣庄矿业集团滕南医院急诊科,山东济宁277000

出　　处：《系统医学》2020年第17期90-92,共3页Systems Medicine

摘　　要：目的探讨关节镜辅助治疗踝关节骨性关节炎的临床疗效及预后影响因素。方法回顾性分析2015年1月—2018年3月该院收治的68例踝关节骨性关节炎患者的临床资料,全部患者均接受关节镜辅助治疗,比较该组患者术前及术后的美国足踝外科协会踝与后足评分(AOFAS)、视觉模拟评分法(VAS)评分、关节活动度(ROM),并开展多因素分析总结影响关节镜辅助治疗踝关节骨性关节炎预后的相关因素。结果该组患者术后随访时间为3~15个月,平均(10.5±2.2)个月;术后AOFAS评分、VAS评分与ROM优于术前,差异有统计学意义(P<0.05);术后1年AOFAS评分、VAS评分与ROM的改善度减弱,但仍优于术前;该组患者末次随访时踝关节功能优50例、良10例、中6例、差2例,优良率为88.24%;关节镜辅助治疗踝关节骨性关节炎的疗效影响因素包括踝关节损伤类型、X线分级、职业类型,差异有统计学意义(χ^2=6.871、8.452、5.023,P<0.05)。结论踝关节骨性关节炎应用关节镜辅助治疗可取得较好效果,可使病情的进一步发展得到有效阻止或延缓,减轻患者机体疼痛度,改善踝关节功能;踝关节损伤类型、X线分级、职业类型为影响疾病治疗预后的相关因素。Objective To investigate the clinical efficacy and prognostic factors of arthroscopic adjuvant treatment of ankle osteoarthritis. Methods The clinical data of 68 patients with ankle osteoarthritis admitted to the hospital from January 2015 to March 2018 were retrospectively analyzed. All patients received adjuvant arthroscopic treatment.Comparison of the preoperative and postoperative United States of this group of patients Foot and Ankle Surgery Association Ankle and Hind Foot Score(AOFAS), Visual Analogue Scale(VAS) Score, Range of Motion(ROM), and conduct multi-factor analysis to summarize the relevant factors affecting the prognosis of arthroscopic adjuvant treatment of ankle osteoarthritis. Results The postoperative follow-up time of this group of patients was 3-15 months,with an average of(10.5±2.2) months;postoperative AOFAS score, VAS score and ROM were better than preoperative,the difference was statistically significant(P<0.05);the improvement of AOFAS score, VAS score and ROM at 1 year after operation was weakened, but still better than before operation;at the last follow-up, 50 cases of ankle joint function were excellent, 10 cases were good, and 6 cases were good. 2 cases were poor, and the excellent and good rate was 88.24%. The influencing factors of the efficacy of arthroscopic adjuvant treatment of ankle osteoarthritis include the type of ankle joint injury, X-ray classification, and occupation type,the difference was statistically significant(χ^2=6.871,8.452, 5.023, P <0.05). Conclusion Adjuvant arthroscopic treatment of ankle osteoarthritis can achieve better results,can effectively prevent or delay the further development of the disease, can reduce the patient’s body pain, and improve the ankle joint function;ankle joint injury types, X-ray classification and occupation type are related factors that affect the prognosis of disease treatment.

关 键 词：踝关节骨性关节炎 关节镜 临床疗效 预后因素 踝关节功能 

分 类 号：R59[医药卫生—内科学]