超声引导下针刀松解腘斜韧带联合玻璃酸钠关节腔注射治疗膝骨关节炎伴屈曲畸形的效果  

Effect of ultrasound-guided acupotomy of popliteal oblique ligament combined with intra-articular injection of Sodium Hyaluronate in the treatment of knee osteoarthritis with flexion deformity

作　　者：袁丁 单粉粉 李涛[3] 张健[1] 史荣荣[1] 姜萍[1] 王纯[4] 王维君[1] 毕研贞 YUAN Ding;SHAN Fenfen;LI Tao;ZHANG Jian;SHI Rongrong;JIANG Ping;WANG Chun;WANG Weijun;BI Yanzhen(Department of Emergency,Qingdao Municipal Hospital,Shandong Province,Qingdao 266000,China;Department of Pathology,Qingdao Municipal Hospital,Shandong Province,Qingdao 266000,China;Department of Joint Surgery,the Affiliated Hospital of Qingdao University,Shandong Province,Qingdao 266000,China;Department of Ultrasound,Qingdao Municipal Hospital,Shandong Province,Qingdao 266000,China;Department of Infectious Diseases,Qingdao Municipal Hospital,Shandong Province,Qingdao 266000,China)

机构地区：[1]青岛市市立医院急诊科,山东青岛266000 [2]青岛市市立医院病理科,山东青岛266000 [3]青岛大学附属医院关节外科,山东青岛266000 [4]青岛市市立医院超声科,山东青岛266000 [5]青岛市市立医院感染性疾病科,山东青岛266000

出　　处：《中国医药导报》2023年第36期151-155,160,共6页China Medical Herald

基　　金：山东省自然科学基金资助项目(ZR2019MH012)。

摘　　要：目的 探讨超声引导下针刀松解腘斜韧带联合玻璃酸钠关节腔注射治疗膝骨关节炎伴屈曲畸形的临床效果。方法 选取2021年1月至12月青岛市市立医院诊断为膝关节骨性关节炎伴屈曲畸形的108例作为研究对象,根据随机数字表法将其分为治疗组和对照组,各54例。对照组采用玻璃酸钠关节腔注射治疗,治疗组在对照组基础上采用超声引导下针刀点状松解腘斜韧带治疗,每周1次,共连续治疗5次。比较两组治疗前后美国纽约特种外科医院评分系统(HSS)评分、西安大略和麦克马斯特大学评分骨关节炎指数量表(WOMAC)评分、视觉模拟评分法评分(VAS),临床疗效及并发症发生情况。结果 治疗后,治疗组HSS评分较治疗前升高,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组WOMAC疼痛、僵硬、功能评分及总分均较治疗前降低,且治疗组低于对照组,差异有统计学意义(P<0.05)。治疗后,治疗组VAS评分较治疗前降低,且治疗组VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。两组均未出现感染、血肿、过敏反应等并发症。结论 超声引导下针刀松解腘斜韧带联合玻璃酸钠关节腔内注射可明显缓解膝关节疼痛,其治疗效果优于单纯玻璃酸钠关节腔内注射治疗,安全性较高。Objective To investigate the clinical efficacy of ultrasound-guided acupotomy of popliteal oblique ligament combined with intra-articular injection of sodium hyaluronate in the treatment of knee osteoarthritis with flexion deformity.Methods A total of 108 patients diagnosed of knee osteoarthritis with flexion deformity in Qingdao Municipal Hospital from January 2021 to December 2021 were selected,and they were divided into treatment group and control group according to the random number table method,with 54 cases in each group.The control group was treated with intra-articular injection of Sodium Hyaluronate,and the treatment group was treated with ultrasound-guided acupotomy of popliteal oblique ligament basis on the control group,once a week,five consecutive times.The Hospital for Special Surgery(HSS)and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),visual analogue scale(VAS)scores before and after treatment were compared,the clinical efficacy and complications were compared between the two groups.Results After treatment,the HSS score of the treatment group was higher than that before treatment,and the HSS score of the treatment group was higher than that of the control group,the differences were statistically significant(P<0.05).The pain,stiffness,functional scores and total scores of WOMAC in both groups were lower than before treatment,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05).After treatment,VAS score of the treatment group was lower than that before treatment,and VAS score of the treatment group was lower than that of the control group,the differences were statistically significant(P<0.05).The clinical effect of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).There were no complications such as infection,hematoma and allergic reaction in the two groups.Conclusion Ultrasound-guided needle knife release of the oblique popliteal ligament combined

关 键 词：膝骨关节炎 屈曲畸形 针刀松解 超声引导 

分 类 号：R246.9[医药卫生—针灸推拿学]