膝关节镜下清理术改善骨性关节炎患者疼痛和关节功能的中期疗效

Metaphase effect of arthroscopic debridement for improving pain and joint function of patients with osteoarthritis

目的:探讨关节镜下清理术治疗骨性关节炎的中期疗效以及适应证。方法:回顾性分析采用关节镜下清理术治疗骨性关节炎共124例,158侧膝关节的临床结果。所有病例术前膝关节存在中度以上疼痛犤视觉模拟评分(VAS)法≥4分犦,经正规保守治疗至少3个月以上,症状控制不满意。术后随访时间2.5～4.8年,平均随访3.5年。随访内容包括疼痛程度(VAS评分),膝关节活动度,Lysholm评分,以及对手术的满意程度。结果:随访时疼痛,关节活动度和Lysholm评分较术前明显改善,患者的满意率达67.3%。结论:关节镜下关节清理术是治疗膝关节骨性关节炎的简便有效的方法之一,只要严格掌握适应证,可以取得满意的疗效。

AIM:To investigate the metaphase effect of arthroscopic debridement for osteoarthritis and discuss the indication for this arthroscopic surgery. METHODS:A retrospective analysis was made to study the clinical results of totally 124 cases of osteoarthritis after arthroscopic debridement(158 knees).All patients had at least moderate knee pain[the score of visual analogue scale (VAS) ≥4 points]and symptoms were not relieved despite systemic medical treatment for at least 3 months.The average follow up period was 3.5 years(from 2.5 to 4.8 years).The follow up included the degree of ache(VAS score),motion of knee joint,Lysholm knee score and degree of satisfaction after operation. RESULTS:During the follow up,pain,motion of joint and Lysholm knee score were significantly improved compared with those before operation.The satisfactory rate of patients was 67.3%. CONCLUSION:Arthroscopic debridement is a simple and effective surgery method for the treatment of degenerative osteoarthropathy of knee joint,which can gain a satisfactory effect as long as grasping the adaptation strictly.