不同年龄段患者行全膝关节置换术的疗效比较  

Comparison efficacy of total knee arthroplasty in patients of different ages

作　　者：乔凌晖 周佩玲 顾羊林 QIAO Ling-hui;ZHOU Pei-ling;GU Yang-lin(Dept of Orthopaedics,Wuxi Second Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu 214000, China)

机构地区：[1]南京医科大学附属无锡第二医院骨科,江苏无锡214000 [2]南京医科大学附属无锡市妇幼保健院内科,江苏无锡214000

出　　处：《临床骨科杂志》2021年第6期798-801,共4页Journal of Clinical Orthopaedics

基　　金：江苏省人社厅六大人才高峰项目(编号:WSW-099)。

摘　　要：目的比较不同年龄段患者行全膝关节置换术(TKA)治疗膝骨关节炎的疗效。方法对119例膝骨关节炎患者采用TKA治疗,将其中年龄≤65岁的患者纳入A组(64例),≥75岁的患者纳入B组(55例),比较两组术后住院时间、膝关节活动度、HSS评分、术后并发症发生情况。结果患者均获得12个月随访。术后住院时间A组短于B组(P<0.05)。膝关节活动度(屈曲、伸展):两组术后、术后12个月均较术前改善(P<0.05),术后、术后12个月两组间比较差异均无统计学意义(P>0.05)。HSS评分两组术后12个月均较术前显著改善(P<0.05);术后12个月两组间比较差异无统计学意义(P>0.05)。褥疮、谵妄发生率B组均高于A组(P<0.05),其余术后并发症发生率两组比较差异均无统计学意义(P>0.05)。结论高龄和年轻膝骨关节炎患者采用TKA治疗均可获得良好的功能,改善生活质量。Objective To compare the efficacy of total knee arthroplasty(TKA)for knee osteoarthritis in patients of different ages.Methods The 119 patients with knee osteoarthritis were treated with TKA.Among them,the ages≤65 years old young patients were collected in group A(64 cases),and the ages≥75 years old patients were collected in group B(55 cases).The postoperative hospital stay,knee joint range of motion,HSS score and complications were compared between two groups.Results All patients were followed up for 12 months.The postoperative hospitalization time in group A was shorter than that in group B(P<0.05).Knee range of motion(flexion,extension)in two groups:at the postoperation and 12 months postoperation,which were improved than the preoperation(P<0.05);and there was no significant difference between the two groups after surgery and 12 months after surgery(P>0.05).The HSS scores:at 12 months after the operation,the two groups were significantly improved than the preoperation(P<0.05);there was no significant difference between the two groups at 12 months after the operation(P>0.05).The incidence rate of bedsores and delirium in the group B was higher than that in the group A(P<0.05),while the rest incidence rate of other complications was not statistically significant between the two groups(P>0.05).Conclusions TKA can obtain good functions in the elderly and young patients with knee osteoarthritis,which can improve their quality of life.

关 键 词：膝骨关节炎 全膝关节置换术 HSS评分 老年人 

分 类 号：R684.3[医药卫生—骨科学] R687.4[医药卫生—外科学]