关节镜与切开术治疗类风湿性关节炎效果比较.docVIP

关节镜与切开术治疗类风湿性关节炎效果比较 　　[摘要] 目的 比较关节镜与切开术治疗类风湿性关节炎的效果。 方法 选择2009年10月～2011年10月于本院就诊的膝关节类风湿性关节炎患者86例，根据患者意愿分为切开术组和关节镜组，切开术组43例患者采用切开直视滑膜切除术，关节镜组43例患者采用关节镜下滑膜切除术，比较两组的住院时间、术中出血量、术后功能锻炼时间。所有患者均随访6～24个月，采用膝关节HSS评分，对膝关节功能恢复情况进行比较。 结果 关节镜组恢复功能锻炼时间、平均住院时间均短于切开术组，术中平均出血量少于切开术组，两组差异有统计学意义（P0.05）。 结论 关节镜与切开术均可有效恢复患者的关节功能，是治疗类风湿性关节炎的有效方法，关节镜较切开术具有创伤小、出血少、住院时间短的优点，对具备关节镜适应证的患者应优先选择关节镜。 　　[关键词] 关节镜；切开术；类风湿性关节炎 　　[中图分类号] R684.3[文献标识码] A[文章编号] 1674-4721（2014）06（a）-0032-03 　　 　　Efficacy comparison of arthroscopic and incision in treatment of rheumatoid arthritis 　　YU Hai-long 　　Spinal Joints Branch of the Third People′s Hospital of Hechi City in Guangxi Zhuang Autonomous Region,Hechi 547000,China 　　[Abstract] Objective To investigate the clinical effect of arthroscopic and incision in the treatment of rheumatoid arthritis. Methods 86 cases of patients with rheumatoid arthritis of the knee in our hospital from October 2009 to October 2011 were divided into incision group (43 cases) treated by open surgical synovectomy and the arthroscopic group (43 cases) treated by arthroscopic synovectomy.The hospitalization time,blood loss,postoperative functional exercise time were analysed.All patients were followed up for 6-24 months and the recovery of knee function were compared by using the HSS score. Results The exercise recovery time,the average length of stay in arthroscopic group was shorter than that of the incision group,and the mean blood loss was less than that of the incision group,the difference was significant (P0.05). Conclusion Arthroscopic and incision surgery can effectively recover joint function,is an effective method for the treatment of rheumatoid arthritis.Compared with incision surgery,the arthroscopic surgery has advantage of less trauma,less bleeding,shorter hospitalization time and patients should be preferred arthroscopy if they adapt to arthroscopic surgery. 　　[Key words] Arthroscopic;Incision surgery;Rheumatoid arthritis 　　类风湿性关节炎是一组临床综合征，发病原因至今尚未阐明。多项研究提示类风湿性关节炎与系