摘要
目的观察全膝关节置换术(TKA)治疗膝单间室骨性关节炎的临床效果。方法选择2018年10月-2021年10月本院收治的60例膝单间室骨性关节炎患者纳入研究,按手术方法的不同分为观察组和对照组两组,每组各30例。观察组行TKA治疗,对照组行关节镜下膝关节清理术,不同术式治疗后评估两组临床疗效、疼痛程度、膝关节屈曲度、肢体功能、生活质量及并发症发生率。结果观察组治疗优良率(96.67%)高于对照组(80.00%)(P<0.05);两组术前VAS评分、ROM、HSS评分比较,差异无统计学意义(P>0.05);两组术后3个月、6个月VAS评分均低于术前,观察组低于对照组(P<0.001);两组术后6个月ROM大于术前,观察组大于对照组(P<0.001),两组术后6个月HSS评分高于术前,观察组高于对照组(P<0.001);观察组并发症发生率(6.67%)低于对照组(26.67%)(P<0.05);两组术前CQOLI-74评分比较无显著差异(P>0.05),两组术后6个月CQOLI-74评分高于术前,观察组高于对照组(P<0.001)。结论采取TKA治疗膝单间室骨性关节炎与关节镜下膝关节清理术比较手术效果更佳,能减轻患者疼痛,恢复膝关节活动度和肢体功能,降低并发症发生风险,并有效提高生活质量,值得推广实施。
Objective To observe the clinical effect of total knee arthroplasty(TKA)in the treatment of knee unicompartmental osteoarthritis.Methods A total of 60 patients with knee unicompartmental osteoarthritis treated in our hospital from October 2018 to October 2021 were included in the study.According to different surgical methods,they were divided into two groups(30 cases in each group).The observation group was treated with TKA,while the control group was treated with arthroscopic knee debridement.The clinical efficacy,pain degree,knee flexion,limb function,quality of life and complication rate of the two groups were evaluated after different surgical treatments.Results The excellent and good rate of treatment in the observation group(96.67%)was higher than that in the control group(80.00%)(P<0.05).There were no significant difference in preoperative VAS score,ROM score and HSS score between the two groups(P>0.05).The VAS scores of the two groups were lower than those before operation at 3 and 6 months after operation,and those of the observation group was lower than the control group(P<0.001).ROM score of the two groups at 6 months after operationwere higher than those before surgery,and that of the observation group was higher than that of the control group(P<0.001).HSS score of the two groups at 6 months after operationwere higher than those before surgery,however,there was no significant difference between the observation group and control group(P>0.05).The incidence of complications in the observation group(6.67%)was lower than control group(26.67%)(P<0.05).There was no significant difference in CQOLI-74 score before operation between the two groups(P>0.05).The CQOLI-74 score in the two groups at 6 months after operation were higher than that before operation,and the observation group was higher than that ofcontrol group(P<0.001).Conclusions Compared with arthroscopic knee debridement,TKA is more effective in treating single-compartment osteoarthritis of knee,which could relieve the pain of patients,restore the
作者
郝信
王恒哲
张云鹏
裴晓东
Hao Xin;Wang Hengzhe;Zhang Yunpeng;Pei Xiaodong(Department of joint surgery,the fourth hospital of Baotou,Baotou,Inner Mongolia,014030,China)
出处
《齐齐哈尔医学院学报》
2022年第20期1929-1933,共5页
Journal of Qiqihar Medical University
基金
包头市卫生计划委科技计划项目(WSJKWKJ028)。
关键词
膝单间室骨性关节炎
全膝关节置换术
关节镜下膝关节清理术
肢体功能
Unicompartmental knee osteoarthritis
Total knee arthroplasty
Arthroscopic debridement of the knee joint
Limb function
