摘要
目的：探讨关节镜清理术与术后关节腔内注射透明质酸钠治疗膝关节骨性关节炎的疗效。方法：2001-07—2008—06膝关节骨性关节炎病人62例82膝，行膝关节镜清理术，术后按是否使用透明质酸钠分成两组，比较疗效及不良反应，随访期限0．5～1．5a。通过Lequesne指数评分对治疗前后的膝关节功能进行综合评价。结果：两组治疗后Lequesne指数总评分均明显下降，与治疗前比较有统计学意义（P〈0．05）；A组Lequesne评分明显低于B组，组间比较差异有统计学意义（P〈0．01）。关节镜下关节清理术组（B组）优良率为84．6％，而关节镜下关节清理术加腔内注射透明质酸钠（A组）优良率达96．9％。结论：关节镜清理术配合术后关节腔注射透明质酸钠是治疗膝关节骨性关节炎一种理想的治疗方法。
Objective ：To evaluate the clinical effects of arthroscopic debridement and intra- articu- lus sodium hyaluronate injection for treating knee osteoarthristis. Methods：62 case of patients with 82 knee joint osteoarthritic were treated by arthroscope debridement from Jun 2001 to Jun 2008. These patients were divided into two groups of sodium hyaluronate group （ group A） and control group （ group B）. The curative effect and side effect were studied during the follow - up 0. 5 - 1.5years. The function of the knee was evaluated before and after treatment by Lequesne algofunetional index. Results：Lequesne algofunctional index reduced significantly after treatment in two groups and compared with group B Lequesne algofunetional index of group A reduced signifieantly（P 〈0.01）. The excellent and good rate of group A were 96.9% and group B were 84.6%. Conclusion：The satisfactory effect may be achieved in treating knee joint osteoarthritis after arthroscopy debridement with sodium hyaluronate.
出处
《内蒙古医学院学报》
2009年第6期545-547,570,共4页
Acta Academiae Medicinae Neimongol
基金
内蒙古自治区自然科学基金项目(200711020936)
