摘要
目的 :评价和比较关节镜下有限和广泛清理术对膝关节骨关节炎的疗效。方法 :将本院 1999～ 2 0 0 1年间治疗的 2 42例膝骨关节炎的患者分为两组 :A组 10 0例 ,119侧膝 ,行有限清理术 ,B组 10 0例 ,12 3侧膝 ,行广泛清理术。随访 3 0～ 48个月。结果 :采用吴海山综合评分体系对膝关节OA术前术后进行评分比较 ,不同术式的 2组总有效率分别为 75 %以及 74% (P >0 0 5 ) ,两组术前膝关节综合评分A组为 11 2± 4 2 ,B组为 12 1± 5 3 (P >0 0 5 ) ,术后 1年综合评分A组为 6 5± 2 1,B组为 7 0± 2 5 ,两组差异无统计学意义 (P >0 0 5 )。两组疗效维持时间A组 3 6± 1 4年 ,B组 3 3± 1 7年 ,两组差异无统计学意义 (P >0 0 5 )。有限清理术的手术时间平均 15min ,广泛清理术平均手术时间 40min ,术后平均恢复期分别为 3和 10d。结论 :对于膝骨关节炎的疗效 ,关节镜术下有限和广泛清理术是相似的 ,且疗效维持时间无差别。但有限清理术手术时间短且创伤较小。
Objective:To compare the result of the limited arthroscopic debridememt and thorough arthroscopic debridement of osteoarthritis.Method:The clinical results of 100 patients who had severe osteoarthritis of knee treated by thorough arthroscopic debridememt were compared with another 100 patients who were treated by limited arthroscopic debridememt.The follow-up period ranged from 30 to 48 months.Result:In comparison of the effective rate,duration of improvememt and improvement extent,there were no difference between the groups (P>0.05).While in comparison of the duration of operation (40min in thorogh group,10 min in limited group) and the duration of recovery(10 days in thorough group,3 days in limited group),there was a significant difference.Conclusion:In the treatment results of osteoartheitis of the knee,there are no significant differences between the thorough debridement and the limited debridement.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第15期1130-1132,共3页
Orthopedic Journal of China
关键词
膝关节
关节镜
骨性关节炎
镜下清理术
Arthroscopy
Arthroscopy
Osteoarthritis
Arthroscopic debridement
