关节镜下清理加钻孔减压治疗58例骨关节病的的疗效观察.docVIP

关节镜下清理加钻孔减压治疗58例骨关节病的的疗效观察 　　[摘要] 目的 探讨关节镜下清理加钻孔减压治疗骨关节病的临床疗效,并与未行钻孔减压的膝关节清理术作比较。方法116例患者随机分为A组(关节镜下清理加钻孔减压术)和B组(未行钻孔减压的膝关节清理术)各58例,观察比较两组分别随访1年内、随访2年以上的临床疗效。结果 随访1年内,A组优良率87.93%,随访2年以上,A组的优良率82.76%,A组不同随访时间优良率比较,差异无显著性(P0.05)。但A组随访1年内及随访2年以上的优良率均较未行钻孔减压的膝关节清理术的B组的优良率有明显提高,经统计学分析,差异有显著性(P0.05)。结论 采用关节镜下清理加钻孔减压治疗膝关节骨关节病创伤小,有利于缓解疼痛和关节功能的恢复。 　　[关键词] 关节镜;钻孔减压;膝关节;骨关节病 　　[中图分类号] R684[文献标识码] A [文章编号] 1673-9701(2010)12-126-02 　　 　　Curative Efficacy of Arthroscopic Clean-up plus Drilling Decompression for Osteoarthropathy 　　LIU ChaoxianZOU Sihua 　　Department of Orthopedics,Loudi City,Stannary Central Hospital,Loudi 417500,China 　　 　　[Abstract] Objective To explore clinical efficacy of arthroscopic clean-up plus drilling decompression for osteoarthropathy and compare it with the knee clean-up surgery without arthroscopic drilling decompression. Methods We divided 116 cases randomly into Group A(arthroscopic cleaning-up and drilling decompression) and Group B(the knee clean-up surgery without arthroscopic drilling decompression) and compared the treatment effect of two groups in the 1-year follow up and the 2-year follow up. Results The 1-year follow up showed the excellent rate of Group A was 87.93% and the 2-year follow up showed the excellent rate of Group A was 82.76% and there was no significant difference in the different follow-ups of Group A(P0.05). The excellent rates of Group A of 1-years and 2- year follow-ups were higher than those of Group B,with a significant difference between the two groups(P0.05). Conclusion Arthroscopic clean-up plus drilling decompression for osteoarthropathy helps alleviate pain and joint function recovery with less trauma. 　　[Key words] Arthroscopy;Drilling;Knee;Osteoarthropathy 　　退行性骨关节病又称骨关节炎(OA)是骨科最多发的慢性疾病之一,50岁以上的人群中约有80%患有骨性关节炎。膝关节是骨性炎最常发生的部位,骨关节炎最先累及关节软骨,以后关节滑膜、软骨下骨都会发生相应病理改变;膝关节镜检查可以明确骨性关节炎的病理改变程度和部位,并能够通过冲冼和清理进行相应治疗[1]。2000年8月～2008年10月,作者通过关节镜技术加股骨内外髁钻孔减压治疗骨关节病58例,并与未行钻孔减压的膝关节清理术作比较,现报道如下。 　　1资料与方法 　　1.1一般资料 　　本组共有膝