摘要
目的探讨关节镜联合玻璃酸钠治疗膝骨关节炎合并前交叉韧带损伤的临床疗效。方法将2014年1月至2015年3月收治的60例膝骨关节炎合并前交叉韧带损伤患者分为治疗组和对照组,对照组行关节镜手术,治疗组在对照组基础上行关节腔注射玻璃酸钠治疗(1次/周,共5周),对比两组的临床疗效。结果术后1周,治疗组和对照组膝关节Lysholm评分均较术前升高,但差异未见统计学意义(P>0.05);术后5周、6个月、12个月,两组膝关节Lysholm评分均高于术前,差异有统计学意义(P<0.05);治疗组和对照组的临床疗效优良率分别为83.3%和73.3%,差异有统计学意义(P<0.05),有效率分别为93.3%与90.0%,差异未见统计学意义(P>0.05)。结论关节镜手术联合玻璃酸钠治疗膝骨关节炎合并前交叉韧带损伤的临床疗效优于单纯关节镜手术,值得临床推广使用。
Objective To investigate the clinical efficacy of arthroscopy combined with sodium hyaluronate on knee osteoarthritis（ KOA） complicated with anterior curciate ligament（ ACL） injury. Methods From January 2014 to March2015,60 cases of KOA complicated with ACL injury were divided into the treatment group and control group. The patients in the control group were given arthroscopic operation,and the patients in the treatment group were given sodium hyaluronate injection for a course of treatment（ once a week,for 5 weeks） on the basis of arthroscopic operation. The clinical effects of two groups were compared. Results The Lysholm scores at 1 week after operation of the two groups were higher than those before operation,but there was no significant difference（ P 0. 05）. The Lysholm scores at 5 weeks,6 months,12 months after operation of the two groups were much higher than those before operation,the differences were significant（ P 0. 05）. The excellent and good rate of the treatment group and control group was 83. 3% and 73. 3% respectively,the difference was significant（ P 0. 05）. The effective rate of the two groups was 93. 3% and 90. 0% respecrively,the difference was not significant（ P 0. 05）. Conclusion The clinical efficacy of arthroscopy combined with sodium hyaluronate on KOA complicated with ACL injury is better than that of simple arthroscopy,and it is worthy of clinical application.
出处
《临床医学》
CAS
2017年第1期50-52,共3页
Clinical Medicine
关键词
膝骨关节炎
前交叉韧带损伤
关节镜
玻璃酸钠
临床疗效
Knee osteoarthritis
Anterior curciate ligament injury
Arthroscopy
Sodium hyaluronate
Clinical efficacy
