摘要
目的探讨关节镜清理术治疗骨性关节炎的疗效与相关因素。方法对36例膝关节骨性关节炎患者,采用选择性、有限化关节镜清理术。手术包括刨削清理增生肥厚的炎性滑膜组织,修平退变剥脱的软骨创面,切除和修整破损的半月板,取出游离体,髁间窝成型解除撞击和ACL磨损。结果34膝得到6～25个月的随访,平均11个月,按膝关节综合评分表进行评分,优23.5%,良55.9%,可17.7%,差2.9%,优良率79.4%。结论关节镜下选择性、有限化微创清理术治疗骨性关节炎,可有效解除临床症状,改善功能,延缓病程,提高生活质量。
[Objective] To study the therapeutic efficacy and related factor of the debridement for osteoarthritic knees under arthroscopy in the patients. [Methods] A total 36 knees were debrided under arthroscopy, The procedures included removal of osteophyma, loose body hyperplastic synovial membrane, and raw surface of degenerated cartilage, repairing the worn meniscus, and reshaping of the intercondylar fossa. [Results] 34 patients were followed up for 11 months in average. After selective debridement and lavage of knee joint osteoarthritis, the pain was relieved and the function and the motion of the joint were restored in most patients. According to the comprehensive knee joint rating system, clinical outcomes of 34 knees were excellent in 23.5%, good in55.9%, fair in 17.7%, poor in2.9%. [Conclusions] Selective and limited debridement and lavage were effective methods for osteoarthritie knees and delayed the pathological process, and improve the knee function.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第2期141-142,145,共3页
China Journal of Endoscopy
关键词
骨关节炎
关节镜
膝关节
osteoarthritis
arthroscopy
knee joint
