微创单髁置换与全膝关节置换治疗膝关节单间室骨性关节炎的效果比较  

Effect comparison of minimally invasive single condylar replacement and total knee arthroplasty in the treatment of single compartment osteoarthritis of knee joint

作　　者：谢静波[1] 肖义兵 熊俊伟 郑涛[1] 鄢秋元[1] XIE Jing-bo;XIAO Yi-bing;XIONG Jun-wei;ZHENG Tao;YAN Qiu-yuan(Department of Orthopedic Joint Disease Area,Fengcheng People′s Hospital,Jiangxi Province,Fengcheng331100,China)

机构地区：[1]江西省丰城市人民医院骨科关节病区,江西丰城331100

出　　处：《中国当代医药》2020年第32期28-30,34,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204775)。

摘　　要：目的探讨微创单髁置换与全膝关节置换治疗膝关节单间室骨性关节炎的效果比较。方法选取丰城市人民医院2018年5月~2019年12月收治的膝关节骨性关节炎患者进行回顾性分析,接受微创单髁置换术治疗的30例膝关节单间室骨性关节炎患者(30膝关节)为观察组,接受全膝关节置换术治疗的30例膝关节骨性关节炎患者(30膝关节)为对照组。整理两组术前、术后的相关临床资料,对比两组患者术后症状缓解情况,膝关节功能HSS评分、患者主观满意度、术中失血量、手术时间、住院时间、治疗费用等。结果治疗前两组膝关节功能HSS评分比较,差异无统计学意义(P>0.05);治疗后,观两组的膝关节功能HSS评分均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组术后症状缓解率高于对照组,差异有统计学意义(P<0.05)。观察组主观满意度高于对照组,术中失血量少于对照组,手术时间、住院时间短于对照组,治疗费用少于对照组,差异均有统计学意义(P<0.05)。结论微创单髁置换术治疗膝关节单间室骨性关节炎术中创伤小,出血量少,手术时间短,术后患者症状改善明显,未出现明显的并发症,住院费用较全膝置换手术费用低。Objective To compare the efficacy of minimally invasive single condylar replacement and total knee arthroplasty in the treatment of single compartment osteoarthritis of knee joint.Methods Knee osteoarthritis patients admitted to Fengcheng People′s Hospital from May 2018 to December 2019 were selected for retrospective analysis.A total of 30 patients with single-compartment knee osteoarthritis(30 knee joints)who underwent minimally invasive monocondyle replacement surgery as the observation group,and 30 patients with knee osteoarthritis(30 knee joints)who received total knee arthroplasty as the control group.The relevant clinical data of the two groups before and after the operation were sorted,and the postoperative symptom relief,the HSS score of knee joint function,the subjective satisfaction of the patients,the blood loss during the operation,the operation time,the length of stay,the treatment cost of the two groups were compared.Results There was no significant difference in the HSS scores of knee joint function between the two groups before treatment(P>0.05);after treatment,the HSS scores of knee joint function in both groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The postoperative symptom relief rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The subjective satisfaction of the observation group was higher than that of the control group,the blood loss during operation was less than that of the control group,the operation time and hospital stay were shorter than those of the control group,and the treatment cost was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion Minimally invasive single condyle replacement for single-compartment knee osteoarthritis has less trauma,less bleeding,and shorter operation time.Postoperative symptoms have improved significantly,no obviou

关 键 词：微创单髁置换 全膝关节置换 膝关节单间室骨性关节炎 疗效 比较 

分 类 号：R658.3[医药卫生—外科学]