关节镜下有限清理与广泛清理术治疗膝骨性关节炎的疗效比较.doc

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1、关馆TWPBSS与广泛®1希台疗BW抉节IznlI三I2018-03-2910:29:48中国现代医生2048年5期夏卫明蒋聿瑛［摘要］目的探讨关节镜卜•有限清理与广泛清理术治疗膝骨性关节炎(KOA)的疗效比较。方法选取2015年1月〜2017年6月间于我院骨科住院拟行关节镜下关节清理术治疗的膝关节OA的患者74例，随机分为观察组和对照组。对照组与观察组患者分别予以关节镜下有限清理术与广泛清理术。观察并比较两组患者手术吋间、术后疼痛评分、术后恢复吋间及膝关节功能和临床疗效。结果观察组的手术时间、术后疼痈评分及术后恢复时间明显长于对照组(PvO.0

2、5)。手术后，两组膝关节HSS评分较前明显上升(PvO.05),且治疗后两组膝关节HSS评分比较差异无统计学意义(P>0.05)；两组临床效果优良率比较差异无统计学意义(x2=0.14,P>0.05)0结论关节镜下有限清理术与广泛清理术治疗KOA的短期疗效相当，前者手术吋间短、术后疼痈轻、术后恢复快，宜作为首选术式。［关键词］膝骨性关节炎；关节镜；有限清理；广泛清理术［中图分类号］R684［文献标识码］A［文章编号］1673-9701(2018)05-0001-03［Abstract］ObjectiveToinvestigateandcompar

3、etheefficacyofarthroscopiclimiteddebridementandextensivedebridementinthetreatmentofkneeosteoarthritis(KOA).MethodsFromJanuary2015toJune2017,74hospitalizedpatientswithkneejointOAwhoweregivenarthroscopicjointdebridementinthedepartmentoforthopedicsinourhospitalwereselectedandran

4、domlydividedintoobservationgroupandcontrolgroup・Patientsinthecontrolgroupandtheobservationgroupweregivenlimiteddebridementandextensivedebridementunderarthroscopy.Theoperationtime,postoperativepainscore,postoperativerecoverytimeandkneejointfunctionwereobservedandcomparedbetwee

5、nthetwogroups,andtheclinicalefficacywascompared・ResultsTheoperationtime,postoperativepainscoreandpostoperativerecoverytimeintheobservationgroupweresignificantlylongerthanthoseinthecontrolgroup(P<0.05)・Aftersurgery,theHSSscoresofkneejointinbothgroupsweresignificantlyincreased(

6、P<0.05),andtherewasnostatisticallysignificantdiffereneeinHSSscoreofkneejointbetweenthetwogroupsaftertreatment(P>0.05)；therewasnostatisticallysignificantdifferencebetweenthetwogroupsintheexcellentandgoodrateofclinicaleffects(x2=0.14,P>0.05)・ConclusionThelimiteddebridementandex

7、tensivedebridementunderarthroscopyinthetreatmentofKOAhaveanequivalentshort-termefficacy.Theformerhasshortoperationtime,mildpostoperativepain,andrapidpostoperativerecovery,whichshouldbeselectedasthepreferredsurgicalapproach・［Keywords］Kneeosteoarthritis(KOA)；Arthroscopy；Limited

8、debridement；Extensivedebridement膝骨性關节炎(kneeosteoarthritis,KOA)是膝关节退行