关节镜下膝关节清理联合股骨远端去神经化治疗膝骨性关节炎.docVIP

关节镜下膝关节清理联合股骨远端去神经化治疗膝骨性关节炎 谢晓龙 王海亮 杨本伍 窦树林 陈福 王威 作者单位：p0.05）。结论 关节镜下膝关节清理联合股骨远端去神经化治疗膝骨性关节炎疗效显著。 关键词 关节镜；膝骨性关节炎；去神经化 The clinical study on the arthroscopic knee joint cleanup with distal femoral denervation treatment for knee osteoarthritis XIE Xiao-long, WANG Hai-liang ,YANG Ben-wu, DOU Shu-lin, CHEN Fu ,WANG Wei (The Department of Osteoarthropathy, The Traditional Chinese Medicine of Meishan, Sichuan Province, 620010,China) [Abstract]Objective:We described a new treatment of knee osteoarthritis and evaluated the effects of it. Methods:With the methods of retrospective study of the clinical statistics,40 cases of knee osteoarthritis which need for arthroscopic knee surgery were divided into control group and observation group,one had 20 patients as the controlled group were given arthroscopic debridement and the other had 20 patients as the observation group were treated with arthroscopic debridement and Denervation treatment of Distal femur. Then we compared the effects of the two groups. Results: The subjective pain of the observation group were significantly reduced , and the knee function, exercise capacity recovered rapidly. The observation group, Compared with the control group,had significant differences.(p0.05).Conclusions:Arthroscopic debridement and Denervation treatment of Distal femur in knee osteoarthritis has significant effect. [Key words]Arthroscopy; Knee osteoarthritis; Denervation treatment; 骨性关节炎(Osteoarthritis．OA)65岁以上的人群中的OA发病率男性为60％70％(P 0.05)。 诊断标准:采用2008年美国风湿病学院推荐的膝关节骨性关节炎诊断标准：（一）临床诊断标准（Clinical Diagnosis Standard）1、1个月来大多数日子膝关节疼痛；2、关节活动时有弹响；3、膝关节僵硬30分钟；4、年龄38岁；5、膝关节骨肥大伴弹响；6、骨肥大不伴弹响。当病人存在第1条即疼痛，同时伴有2、3、4条或伴有2、3、5条或伴有6条均可诊断膝关节骨性关节炎。（二）临床和放射学标准（Clinical and x-ray diagnosis standard）1、1个月来大多数日子膝关节疼痛；2、X线平片边缘骨刺形成；3、滑液（synovial fluid）检查（最少符合：①澄清；②粘性；③白细胞计数2000/ml中的两项）；4、如不能查滑液，年龄60岁；5、膝关节僵硬30分钟；6、关节活动时弹响。存在1项，即关节疼痛，加2项即X线表现，或若加3、5、6项或加4、5、6项，即可诊断膝关节骨性关节炎。 2 方法 观察组采用单纯膝关节清理联合股骨远端去神经化术；对照组采用单纯膝关节镜清理术、术后采用相同康复功能锻炼、膝关节腔内注射玻璃酸钠方法如下： 2.1两组术前3