微创手术与保守治疗踝关节退行性骨关节病临床观察.docVIP

微创手术与保守治疗踝关节退行性骨关节病临床观察 　　【摘 要】 目的：比较关节镜手术与非手术治疗踝关节退行性骨关节病的疗效。方法：选取106例踝关节退行性骨关节病患者，根据治疗方法的不同将其分为观察组和对照组各53例。观察组采用关节镜手术治疗；对照组采用常规保守治疗。对比分析两组患者手术前后的Mazur的功能评分、Tegner运动水平分级评定疗效、疼痛视觉模拟评分（VAS）。结果：比较术后两组患者间各评分差异差异均无统计学意义（P005）；观察组Outerbridge分级与Mazur评分没有相关性（P005）。结论：关节镜手术及非手术方法治疗踝关节退行性骨关节病均可获得较好疗效，两种治疗方式均未表现出优越性，考虑为所选研究对象过少所致，应当进一步论证。 　　【关键词】 关节镜手术；保守治疗；踝关节退行性骨关节病 　　【中图分类号】R6874 【文献标志码】 A 【文章编号】1007-8517（2015）05-0090-02 　　Curative effect observation of degenerative osteoarthritis of ankle joint with minimally invasive operation and conservative treatment 　　XIE Wei-yong，YANG Yan-jun，HUANG Gang，QIU Xin-lin，HE Ming-tang，YE Wei-de 　　Department of orthopedics of Longgang District Hospital，Shenzhen 518116，China 　　Abstract：ObjectiveTo compare arthroscopic surgical and non-surgical treatment of ankle degenerative joint disease effect. Methods Select 106 cases receiving treatment ankle degenerative joint patients. Depending on the method of treatment of 106 patients were divided into observation group and control group. The observation group were treated with arthroscopic surgery，the control group were treated with conventional conservative treatment. Comparative analysis of two groups of patients before and after surgery Mazurs function score， Tiger activity level grading assessment of efficacy， pain visual analog scale （VAS）. ResultsThe score difference between the two groups of patients comparing surgery， the difference was not statistically significant （P005）. Outer bridge classification observation group was not associated with Mazur score （P005）. ConclusionArthroscopic surgery and non-surgical methods of treating ankle degenerative joint disease may get better results， the two treatments did not show superiority， consider this article a selected object of study is due to too little， should be further demonstrated . 　　Keywords：Arthroscopic surgery； Non-surgical； Ankle degenerative joint disease 　　踝骨关节病是一种退行性关节疾病，主要继发于创伤，会造成肌肉萎缩、顽固性疼痛、功能障碍等[1]。大约6%～13%的退行性骨关节病会累及踝关节，