关节镜手术与功能锻炼治疗早期髌股关节炎的疗效比较
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摘要
目的比较关节镜手术与功能锻炼治疗早期髌股关节炎的疗效。方法将61例早期髌股关节炎患者随机分为2组,手术组31例采用关节镜手术治疗,保守组30例采用功能锻炼治疗,观察2组治疗后1周、3周、6个月Kujala髌股关节评分、Lequesne-Mery膝关节骨性关节炎评分变化情况。结果保守组治疗后1周Kujala髌股关节评分明显高于治疗前(P<0.05),Lequesne-Mery膝关节骨性关节炎评分明显低于治疗前(P<0.05),但治疗后3周及6个月与治疗前比较差异均无统计学意义(P均>0.05)。手术组治疗后1周、3周、6个月Kujala髌股关节评分均明显高于治疗前及保守组(P均<0.05),Lequesne-Mery膝关节骨性关节炎评分均明显低于治疗前及保守组(P均<0.05)。结论关节镜手术治疗早期髌股关节炎能够缓解症状,延缓疾病的发展,可取得较功能锻炼治疗更好的效果。
引文
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[3] Cicuttini FM,Wluka AE. Osteoarthritis:Is OA a mechanical or systemic disease[J]. Nature Reviews Rheumatology,2014,10(9):515-516
[4] 周英祝,王强. 髌股关节炎治疗研究进展[J]. 实用骨科杂志,2012,9(18):815-818
[5] 徐文弟,朱勋兵,韩冠生. 髌股关节炎诊治新进展[J]. 中华全科医学,2017,6(15):1032-1036
[6] Sherman SL,Erickson BJ,Cvetanovich GL,et al. Tibial tuberosity osteotomy.Indications,techniques,and outcomes[J]. Am J Sports Med,2013,42(8):2006-2017
[7] Kim YM,Joo YB. Patellofemoral Osteoarthritis[J]. Knee Surgery and Related Research,2012,24(4):193
[8] Rixe Ja,Glick JE,Brady J,et al. A review of themanagment of patellofemoral pain syndrome[J]. Phys Sports Med,2013,41(3):19-28
[9] Schiphof D,van Middelkoop M,de Klerk BM,et al. Crepitus is a first indication of patellofemoral osteoarthritis (and not of tibiofemoral osteoarthritis)[J]. Osteoarthr Cartil,2014,22(5):631-638
[10] 邹国友,贾伟涛,郑闽前,等. 髌骨内推联合股四头肌锻炼可有效改善老年髌股关节炎的症状和功能[J]. 中华关节外科杂志,2014,8(3):328-332
[11] 王伟,陆兴,康志刚,等. 关节镜下关节清理术联合腔内注射玻璃酸钠治疗膝关节骨性关节炎[J]. 中华实验外科杂志,2014,31(7):1606-1608
[12] 赵建罡,高志国,马立学,等. 膝关节镜下关节清理联合髌骨周围去神经化术治疗髌股关节炎膝前痛[J].