摘要
目的探讨采用磨削打孔法对治疗不同程度软骨缺损的疗效。方法根据Outerbridge关节镜分级标准将86例各种原因引起的软骨缺损患者分为A组:Ⅰ~Ⅱ级(32例)、B组:Ⅲ级(28例)和C组Ⅳ级(26例),并对不同期的软骨缺损患者采用磨削打孔微骨折技术治疗。术后平均随访14.5个月,对三组膝关节软骨缺损患者VAS和Lysholm评分进行术前与术后比较及不同组间的比较。结果 A、B、C3组患者膝关节VAS评分术后较术前均明显降低(P〈0.05),Lysholm评分术后则较术前明显升高(P〈0.05);术后B组和C组患者VAS评分高于A组(P〈0.05),Lysholm评分低于A组(P〈0.05);术后A组、B组患者VAS评分均低于C组(P〈0.05),Lysholm评分高于C组(P〈0.05)。结论关节镜下磨削打孔微骨折技术对早期及中期软骨缺损患者术后患者VAS和Lysholm评分效果好,关节镜下磨削打孔法简单,操作方便,是治疗膝关节软骨损伤的一种安全有效方法,可明显改善患者的关节功能和减轻疼痛症状,提高生活质量。
【Objective】To evaluate the clinical effect of grinding and perforating technique for treatment of articular cartilage lesions in knee. 【Methods】86 patients whose articular cartilage lesions in knee by many reasons were grouped A groupⅠ°-Ⅱ° (32 cases), B group: Ⅲ°(28 cases) and C group Ⅳ° (26 cases) in corroding to Outerbridge, and were treated using the arthroscopic microfracture of grinding and perforating technique. Modified VAS scoring system and Lysholm scoring system were used to measure outcomes at mean follow -up of 14.5 months. 【Results】At the time of the latest follow-up, A, B, C group patients VAS scorings were lower postoperative than preoperative (P 0.05) and Lysholm scorings were higher postoperative than preoperative (P 0.05), B, C group patients VAS scorings were higher than A group (P 0.05) and Lysholm scorings were lower than A group (P 0.05) postoperative, A, B group patients VAS scorings were higher than C group (P 0.05) and Lysholm scorings were higher than C group (P 0.05) postoperative. 【Conclusion】Arthroscopic microfracture of grinding and perforating technique has advantages and potential for the treatment of articular cartilage lesions in the knee over other ways.
出处
《中国内镜杂志》
CSCD
北大核心
2013年第1期42-45,共4页
China Journal of Endoscopy
关键词
软骨缺损
膝关节镜
微骨折
磨削打孔法
临床评价
chondral defect
knee arthroscopy
arthroscopic microfracture
grinding and perforating technique
clinical evaluation