摘要
目的:比较胫骨高位截骨术与全膝关节置换术治疗膝关节骨性关节炎患者的效果。方法:回顾性分析2018年1月至2020年1月该院收治的84例膝关节骨性关节炎患者的临床资料,根据手术方案不同分为对照组和研究组各42例。对照组给予全膝关节置换术治疗,研究组给予胫骨高位截骨术治疗,比较两组手术相关指标水平,术前、术后(1个月、3个月)膝关节功能[美国特种外科医院膝关节评分(HSS)]评分和术后并发症发生率。结果:两组手术时间、术中出血量、术后下床时间和住院时间比较,差异均无统计学意义(P>0.05);术后1个月,两组HSS评分均高于术前,且研究组高于对照组,差异有统计学意义(P<0.05);术后3个月,两组HSS评分均高于术前,差异有统计学意义(P<0.05),但组间比较,差异无统计学意义(P>0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:胫骨高位截骨术与全膝关节置换术治疗膝关节骨性关节炎患者的手术相关指标水平和远期疗效均无明显差别,且二者安全性相当,但胫骨高位截骨术近期疗效较好。
Objective:To compare effects of high tibial osteotomy and total knee arthroplasty in treatment of patients with knee osteoarthritis.Methods:The clinical data of 84 patients with knee osteoarthritis admitted to our hospital from January 2018 to January 2020 were retrospectively analyzed.According to different surgical plans,they were divided into control group and study group,each with 42 cases.The control group was treated with total knee arthroplasty,while the study group was treated with high tibial osteotomy.The levels of surgery-related indicators,the knee function[hospital for special surgery(HSS)]score and the postoperative complications were compared between the two groups before and 1 and 3 months after the surgery.Results:There were no significant differences between the two groups in the operation time,the intraoperative blood loss,the postoperative out-of-bed time and the hospital stay(P>0.05).1 month after the surgery,the HSS scores of the two groups were higher than those before the surgery;that of the study group was higher than that of the control group;and the differences were statistically significant(P<0.05).3 months after the operation,the HSS scores of the two groups were higher than those before the surgery,and the difference was statistically significant(P<0.05);however,the difference between the groups was not statistically significant(P>0.05).Further,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:There are no significant differences between high tibial osteotomy and total knee arthroplasty in the treatment of knee osteoarthritis in the surgical related indicators and the long-term efficacy,and their safety is equivalent;however,the short-term efficacy of high tibial osteotomy is better.
作者
刘军锋
LIU Junfeng(Fourth Department of Orthopedics of Yuncheng First Hospital,Yuncheng 044000 Shanxi,China)
出处
《中国民康医学》
2021年第21期149-151,共3页
Medical Journal of Chinese People’s Health
