膝骨关节炎合并软骨损伤患者关节镜下膝关节清理术联合去神经化治疗疗效观察
|
摘要
目的:观察膝骨关节炎合并软骨损伤患者关节镜下膝关节清理术联合去神经化治疗疗效。方法:选取我院收治的膝骨关节炎合并软骨损伤患者84例作为研究对象,遵循随机、等分原则分为观察组和对照组,对照组给予关节镜下膝关节清理术,观察组在对照组基础上联合去神经化治疗。观察两组疼痛程度、膝关节功能、临床效果以及并发症发生率情况。结果:术后两组各时刻VAS评分显著低于术前(P<0.05),且观察组显著低于对照组(P<0.05),两组术后每两个时刻比较差异具有统计学意义(P<0.05);两组术后各时刻Lysholm评分显著高于术前(P<0.05),两组术后1个月、术后3个月比较差异不显著(P>0.05),术后6个月、术后12个月比较差异显著(P<0.05);观察组术后各时刻比较差异显著(P<0.05);对照组术后各时刻比较差异不显著(P>0.05);观察组优良率90.48%显著高于对照组71.43%(P<0.05);观察组并发症发生率2.38%低于对照组7.14%(P>0.05)。结论:关节镜下膝关节清理术联合去神经化治疗膝骨关节炎合并软骨损伤能够减轻疼痛,改善膝关节功能,疗效较好。
Objective: To observe curative effect of arthroscopic knee debridement combined with denervation therapy on patients with knee osteoarthritis complicated with cartilage injury. Methods: Eighty-four cases of patients with knee osteoarthritis complicated with cartilage injury treated in our hospital were selected as the study objects. All the patients were divided into observation group and control group according to the random and equal principle. The control group were treated with arthroscopic knee debridement,and the observation group were combined with denervation therapy on the basis of the control group. Pain degree,knee function,clinical effects and complication rates were observed in the two groups. Results: After the operation,the VAS score of the two groups was significantly lower than that before the operation( P <0.05),and the observation group was significantly lower than the control group( P <0.05). The difference between the two groups after the operation was statistically significant( P <0.05). Lysholm scores at each time after operation were significantly lower than those before operation( P < 0. 05). There were no significant differences in the scores a month and three months after operation( P >0.05),while significant differences in the scores six months and twelve months after operation( P <0.05),with significant differences at each time after operation in the observation group( P <0.05) and no significant differences in the control group( P >0.05). The excellent rate of the observation group was 90.48% significantly higher than that of 71.43% of the control group( P <0.05). The incidence of complications in the observation group was 2.38% lower than that of 7.14% in the control group( P>0.05). Conclusion: Arthroscopic knee debridement combined with denervation for knee osteoarthritis complicated with cartilage injury can relieve pain and improve knee function.
Objective: To observe curative effect of arthroscopic knee debridement combined with denervation therapy on patients with knee osteoarthritis complicated with cartilage injury. Methods: Eighty-four cases of patients with knee osteoarthritis complicated with cartilage injury treated in our hospital were selected as the study objects. All the patients were divided into observation group and control group according to the random and equal principle. The control group were treated with arthroscopic knee debridement,and the observation group were combined with denervation therapy on the basis of the control group. Pain degree,knee function,clinical effects and complication rates were observed in the two groups. Results: After the operation,the VAS score of the two groups was significantly lower than that before the operation( P <0.05),and the observation group was significantly lower than the control group( P <0.05). The difference between the two groups after the operation was statistically significant( P <0.05). Lysholm scores at each time after operation were significantly lower than those before operation( P < 0. 05). There were no significant differences in the scores a month and three months after operation( P >0.05),while significant differences in the scores six months and twelve months after operation( P <0.05),with significant differences at each time after operation in the observation group( P <0.05) and no significant differences in the control group( P >0.05). The excellent rate of the observation group was 90.48% significantly higher than that of 71.43% of the control group( P <0.05). The incidence of complications in the observation group was 2.38% lower than that of 7.14% in the control group( P>0.05). Conclusion: Arthroscopic knee debridement combined with denervation for knee osteoarthritis complicated with cartilage injury can relieve pain and improve knee function.
引文
[1]谢晓龙,王海亮,杨本伍,等.关节镜下膝关节清理联合股骨远端去神经化治疗膝骨性关节炎[J].中国中医骨伤科杂志,2014,22(7):52~53.
[2]邱贵兴.骨关节炎诊治指南[J].2011全国骨关节创伤学术研讨会,2011.
[3]Ostrander RV,Leddon CE,Hackel JG,et al.Efficacy of Unloader Bracing in Reducing Symptoms of Knee Osteoarthritis[J].Am Orthop(Belle Mead NJ),2016,45(5):306~311.
[4]Kiadaliri AA,Lamm CJ,de Verdier MG,et al.Association of knee pain and different definitions of knee osteoarthritis with health-related quality of life:a population-based cohort study in southern Sweden[J].Health Qual Life Outcomes,2016,14(1):121.
[5]张华,李贵山.关节镜下清理术联合关节腔内注射玻璃酸钠治疗膝骨关节炎[J].中医正骨,2015,27(7):53~57.
[6]仲文军,王恒,阮子平,等.关节镜下关节有限清理术联合玻璃酸钠治疗膝骨关节炎[J].中国微创外科杂志,2015,15(4):341~343.
[7]汤继磊,沈向阳,高为人,等.关节镜下关节清理术治疗合并半月板损伤的膝骨关节炎24例[J].江苏医药,2016,42(2):213~214.
[8]张洪涛,张继文,姜波,等.关节镜微骨折术治疗膝骨关节炎合并软骨损伤疗效观察[J].中华实用诊断与治疗杂志,2011,25(3):270~271.
[2]邱贵兴.骨关节炎诊治指南[J].2011全国骨关节创伤学术研讨会,2011.
[3]Ostrander RV,Leddon CE,Hackel JG,et al.Efficacy of Unloader Bracing in Reducing Symptoms of Knee Osteoarthritis[J].Am Orthop(Belle Mead NJ),2016,45(5):306~311.
[4]Kiadaliri AA,Lamm CJ,de Verdier MG,et al.Association of knee pain and different definitions of knee osteoarthritis with health-related quality of life:a population-based cohort study in southern Sweden[J].Health Qual Life Outcomes,2016,14(1):121.
[5]张华,李贵山.关节镜下清理术联合关节腔内注射玻璃酸钠治疗膝骨关节炎[J].中医正骨,2015,27(7):53~57.
[6]仲文军,王恒,阮子平,等.关节镜下关节有限清理术联合玻璃酸钠治疗膝骨关节炎[J].中国微创外科杂志,2015,15(4):341~343.
[7]汤继磊,沈向阳,高为人,等.关节镜下关节清理术治疗合并半月板损伤的膝骨关节炎24例[J].江苏医药,2016,42(2):213~214.
[8]张洪涛,张继文,姜波,等.关节镜微骨折术治疗膝骨关节炎合并软骨损伤疗效观察[J].中华实用诊断与治疗杂志,2011,25(3):270~271.