| 关节镜下清理术治疗膝骨关节炎的中期疗效随访 |
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投稿时间：2010-04-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 孙钢 |
SUN Gang |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
sungang168@yahoo.com |
| 尹天 |
YIN Tian |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 张淳 |
ZHANG Chun |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 赵铁军 |
HAO Tie-jun |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 顾力军 |
GU Li-jun |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 张洪美 |
ZHANG Hong-mei |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第12期，第903-905页 |
| DOI：10.3969/j.issn.1003-0034.2010.12.006 |
| 基金项目: |
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中文摘要:
目的：评价关节镜下清理术治疗膝骨关节炎的中期疗效。
方法：对2000-2004年采用关节镜下清理术治疗的56例(56膝)膝骨关节炎病例进行了回顾性研究。其中，男15例，女41例；年龄39～76岁，平均(55.23±10.26)岁；病程1～25个月，平均5.75个月。症状主要为膝关节疼痛、肿胀和功能受限。Kellgren-Lawrence X线分级：Ⅰ级17例，Ⅱ级39例。术后进行康复锻炼和健康教育。治疗前后采用膝关节Lysholm评分进行疗效评价。
结果：全部患者获随访，时间5年以上，3例分别于术后5.5、7.8和8.3年行膝关节置换术，其余患者膝关节Lysholm评分由术前的平均(42.40±6.78)分增加到术后的(75.53±8.23)分。治疗后评分较治疗前提高，t=-22.62,P<0.01.
结论：合理选择适应证，采用有限镜下清理，配合健康教育、系统的康复锻炼及使用软骨保护剂，关节镜下清理术治疗膝骨关节炎能够获得良好的中期疗效。 |
| 【关键词】骨关节炎,膝 关节镜检查 康复 |
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| Study on midterm follow-up results of arthroscopic debridement for knee osteoarthritis |
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ABSTRACT
Objective: To evaluate the effect of arthroscopic debridement for knee osteoarthritis.
Methods: The medical records of 56 patients(56 knees) who underwent arthroscopic debridement procedures for knee osteoarthritis from 2000 to 2004 were reviewed. Among the patients,15 patients were male and 41 patients were female,ranged in age from 39 to 76 years,with an average of(55.23±10.26) years. The duration of the disease ranged from 1 to 25 months,with an average of 5.75 months. The chief symptoms were pain,swelling and dysfunction of the knees. According to Kellgren-Lawrence classification grade,17 patients were gradeⅠ，39 patients were gradeⅡ。 Lysholm score was used to evaluate the postoperative effects,and the statistics analysis was carried out with SPSS 13.0.
Results: All the patients were followed up more than 5 years. Three patients underwent total knee replacement respectively at 5.5,7.8 and 8.3 years after the arthroscopic debridement,the average Lysholm score of other 53 patients increased from(42.40±6.78) preoperatively to(75.53±8.23) postoperatively. There were significant difference between preoperative score and postoperative score(t=-22.62,P<0.01).
Conclusion: The good midterm follow-up results of arthroscopic debridement for knee osteoarthritis are related to the appropriate indications selections,limited debridement,good patient education,systemic rehabilitation and chondroprotective agents. |
| KEY WORDS Osteoarthritis, knee Arthroscopy Rehabilitation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙钢,尹天,张淳,赵铁军,顾力军,张洪美.关节镜下清理术治疗膝骨关节炎的中期疗效随访[J].中国骨伤,2010,23(12):903~905 |
| 英文格式: | SUN Gang,YIN Tian,ZHANG Chun,HAO Tie-jun,GU Li-jun,ZHANG Hong-mei.Study on midterm follow-up results of arthroscopic debridement for knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(12):903~905 |
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