摘要
目的 :评价非手术治疗、关节镜和全膝关节置换术治疗不同严重程度的膝骨性关节炎的效果。方法 :对采用这三种方法治疗的 2 13例 (30 4膝 )患者 ,依据膝骨性关节炎严重性指数 (ISOA)及Kellgren -Lawrance(K -L)X线分级标准不同进行分组 ,对治疗前后的ISOA进行回顾性分析。结果 :经 3～ 6 2个月 (平均 2 0 6个月 )的随访 ,K -L分级Ⅰ、Ⅱ和Ⅲ级且ISOA <14者 ,非手术治疗组和关节镜组治疗前后ISOA均有显著性差异 ;K -L分级Ⅲ级且ISOA≥ 14、Ⅳ级者 ,全膝关节置换术组治疗前后ISOA有显著性差异。结论 :K -L分级Ⅰ、Ⅱ和Ⅲ级且ISOA <14者 ,应选择非手术治疗或关节镜治疗 ;K -L分级Ⅲ级且ISOA≥ 14、Ⅳ级者 。
Objective:[To evaluate the effect of non operative methods,arthroscopy and total knee arthroplasty in the treatment of different severity of the gon osteoarthritis.Methods:[According to the index of severity for osteoarthritis of the knee(ISOA) and Kellgren Lawrance(K-L)grades of X ray diagnosis,213 cases(304 knees),treated by the three methods were divided into different groups,the scores of ISOA before and after treatment were analyzed.Results:[During a 3 to 62 months(20 6 months in average) following up,there were significant difference of the ISOA before and after treatment in the non operative methods and arthroscopy groups for the cases with K-L grade Ⅰ、Ⅱ and Ⅲ,ISOA<14,and in the total knee arthroplasty group for the cases with K-L grand Ⅲ,ISOA≥14 and K-L grand Ⅳ.Conclusion:[The cases with K-L grade Ⅰ、Ⅱ and Ⅲ,ISOA<14 which should be treated by non operative methods or arthroscopy.For the cases with K-L grand Ⅲ,ISOA≥14 and K-L grade Ⅳ,the total knee arthroplasty is the only way. [
出处
《中国骨伤》
CAS
2004年第6期332-334,共3页
China Journal of Orthopaedics and Traumatology
关键词
膝骨性关节炎
分级治疗
关节镜
全膝关节置换术
Osteoarthritis,knee
Arthroscopic surgical procedures
Arthroplasty,replacement,knee
