两种方法治疗膝骨关节炎合并下肢静脉曲张的疗效观察

Efficacy of two methods for treating knee osteoarthritis combined with varicose veins

目的观察两种方法治疗膝骨性关节炎合并下肢静脉曲张的临床效果。方法选取我科自2010年1月至2016年1月收治的68例膝骨关节炎合并下肢静脉曲张的患者,按资料分为两组,药物治疗组和手术合并药物治疗组,每组34例。药物治疗组给予单纯膝关节内注射玻璃酸钠。手术合并药物治疗组膝关节内注射玻璃酸钠合并手术治疗静脉曲张。比较两组患者膝关节注射玻璃酸钠后VAS疼痛评分和KSS评分的差异。结果注射玻璃酸钠前两组各等级(1~5度)的VAS疼痛评分和KSS膝关节功能评分差异无统计学意义(P>0.05)。注射玻璃酸钠后手术治疗组各等级(1~5度)的VAS疼痛评分和KSS膝关节功能评分上都较未手术治疗组低,提示手术治疗组疾病程度减轻,且差异有统计学意义(P<0.05)。结论膝骨关节炎合并下肢静脉曲张的患者,静脉曲张术后膝关节腔再注射玻璃酸钠效果更佳,值得临床推广应用。

Objective To observe the clinical effect of two methods in treating osteoarthritis of knee joint combined with varicose veins of lower limbs. Methods From January 2010 to January 2016,68 patients with knee osteoarthritis and varicose veins of lower limb were divided into two groups.Drug group was consisted of lower limb varicosity treated with in- jected sodium hyaluronate in knee joint cavity only;Surgery group was consisted of lower limb varicosity treated with surgery and injected sodium hyaluronate in knee joint cavity.Differences of pain VAS scores and KSS knee function scores after knee injection of sodium hyaluronate were compared in two groups. Results There was no significant difference in the VAS pain scores and KSS knee scores between two groups before injection of sodium hyaluronate （P〉0.05）.All patients were fol- lowed up and the VAS pain scores and the KSS knee function scores were improved significantly after the surgery of lower extremity varicose veins and injection of sodium hyaluronate. Conclusion The patients had better effect after the surgery of osteoarthritis of knee joint combined with varicose veins of lower limbs.