关节镜下骨赘清理治疗膝关节骨性关节炎的效果观察.docVIP

关节镜下骨赘清理治疗膝关节骨性关节炎的效果观察 　　【摘要】目的探讨关节镜下有限清理联合骨赘清理治疗膝关节骨性关节炎的临床疗效。方法选取2014年3月～2015年2月收治的89例膝关节骨性关节炎患者，随机分为研究组和对照组，对照组行关节镜下有限清理术，研究组在对照组基础上联合骨赘清理，术后随访6个月，比较两组患者膝关节功能、膝关节Lyshlom评分及膝关节疼痛VAS评分。结果研究组患者膝关节功能优良率（98.15%）高于对照组（82.86%），比较差异有统计学意义（P0.05）；术后6个月研究组患者Lyshlom评分高于对照组[（87.9±3.5）分 vs（76.1±3.5）分]，VAS评分低于对照组[（1.7±0.8）分 vs（3.5±1.0）分]，组间比较差异有统计学意义（P0.001）。结论关节镜有限清理联合骨赘清理治疗膝关节骨性关节炎可有效提高膝关节功能，降低术后疼痛，其效果更为显著。 　　【关键词】膝关节；骨性关节炎；关节镜 　　中图分类号：R684.3文献标识码：ADOI：10.3969/j.issn2016.05.019 　　【Abstract】ObjectiveTo investigate the clinical efficacy of limited debridement combined with osteophyte cleaning under arthroscope in the treatment of knee osteoarthritis.Methods89 cases of knee osteoarthritis admitted from March，2014 to February， 2015 were enrolled in the study and randomly divided into study group and control group.The control group were given limited arthroscopic debridement，and based on which the research group were added osteophyte cleaning under arthroscope.All patients were given 6 months of follow-up visit.And then，knee joint function，knee joint Lyshlom score and knee pain VAS score were compared between the two groups.ResultsThe excellent rate of knee joint function in the study group （98.15%） was higher than that （82.86%） of the control group，so difference was statistically significant（P0.05）.6 months after operation，Lyshlom score of the study group was higher than that of the control group[（87.9±3.5） vs （76.1±3.5） points]，and VAS score was lower than that of the control group [（1.7±0.8） vs （3.5±1.0） points]，so difference was statistically significant（P0.001）.ConclusionArthroscopic limited debridement combined with osteophyte cleaning in the treatment of knee osteoarthritis can effectively improve the knee joint function，alleviate postoperative pain，and the effect is more significant. 　　【Key words】knee joint；osteoarthritis；arthroscope 　　膝?P节骨性关节炎为骨科常见疾病之一，好发于中老年患者，以膝关节肿胀、疼痛、功能障碍、畸形为主要临床表现，对患者生活质量造成严重影响[1]。常规药物、康复治疗恢复缓慢，随着微创手术的发展，关节镜下骨赘清除术广泛应用于膝关节骨性关节炎的治疗，具