期刊文献+

骨性关节炎中关节镜的临床应用分析 被引量:10

骨性关节炎中关节镜的临床应用分析
下载PDF
导出
摘要 目的探讨关节镜在骨性关节炎中的临床应用价值。方法以2009年1月至2011年1月期间我院收治的50例膝关节骨性关节炎患者,所有患者均给予关节镜探查和关节清理及软骨表面化技术治疗,术后给予功能康复锻炼指导,随访6个月~2年,给予患者术前术后膝关节评分,观察治疗效果。结果 50例患者经关节镜检查均确诊有骨关节炎,经关节镜治疗后,患者关节疼痛消失或明显减轻,关节的活动范围明显增加,术后均未发生关节活动功能障碍等并发症。膝关节评分发现,术后1、6个月的评分与术前相比均具有统计学差异,P<0.05。结论关节镜能直观地观察膝关节的功能障碍的部位及病变程度,给予患者镜下清理病变组织及软骨表面化技术治疗,具有创伤小、恢复快的优点,并且疗效显著,是治疗骨性关节炎的有效方法。 Objective To evaluate the clinical value of arthroscopy in diagnosis of osteoarthritis.Methods Selected our hospital 50 cases with knee osteoarthritis,all patients taken arthroscopy exploration and joint clean-up and cartilage superficial treatment,took guidance of postoperative functional rehabilitation exercises,followed up for 6 months to 2 years.Results 50 patients were diagnosed with osteoarthritis by arthroscopy,after arthroscope therapy,Knee score found,after operation one month、6 months' score compared with before had statistical differences,P0.05.Conclusion Arthroscopy can directly observed the parts of knee joint dysfunction and the severity,give patients debridement lesions and cartilage superficial treatment,have small trauma、quick recovery advantages,and effect is distinctly,is the effective method of osteoarthritis treatment.
作者 李乐峰
出处 《中外医疗》 2012年第3期24-25,共2页 China & Foreign Medical Treatment
关键词 骨性关节炎 关节镜 诊断 治疗 Osteoarthritis Arthroscopy Diagnosis Treatment
  • 相关文献

参考文献3

二级参考文献15

  • 1娄思权.骨关节炎的病理与发病因素[J].中华骨科杂志,1996,16(1):56-59. 被引量:229
  • 2[2]Krans VB.Pathogenesis and treatment of osteoarthritis.Adv Rheumatol,1997,81:85.
  • 3[5]Kolowich PA,Paulos LE,Rosenberg TD,et al,Lateral release of the patella:indication and contraindication.Am J Sports Med,1990,18:359-365.
  • 4[6]Jackson RW,Dieterichs C.The results of arthroscopic lavage and debridement of osteoarthritic knees based on the severity of degeneration.Arthroscopy,2003,19:1-5.
  • 5[7]Friedman MJ,Berasi CC,Fox JM,et al.Preliminary results with abrasion arthroplasty in the osteoarthritic knee.Clin Orthop,1984,182:200-205.
  • 6[8]Bert JM.Role of abrasion arthoplasty and debridement in the management of osteoarthritis of knee.Rhem Dis Clin North Am,1993,19:25.
  • 7AHLBACK S. Osteoarthrosis of the knee:A radiographic investigation [J]. Acta Radiol Diagn, 1968, 277 ( 2 ) : 7-72.
  • 8SCHUMAN L,STRUIJS PA,VAN DIJK CN. Arthroscopic treatment for osteochondral defects of the talus. Results at follow-up at 2 to 11 years [J]. J Bone Joint Surg Br, 2002,84( 3 ) : 364-368.
  • 9KUETTNER KE, COLE AA. Cartilage degeneration in different human joints [ J ]. Osteoarthritis Cartilage, 2005,13 (2) : 93-103.
  • 10BOBINAC D,SPANJOL J,ZORICIC S,et al. Changes in articular cartilage and subchondral bone histomorphometry in osteoarthritic knee joints in humans [J]. Bone, 2003,32( 3 ) : 284-290.

共引文献47

同被引文献99

  • 1骨关节炎诊治指南(2007年版)[J].中华骨科杂志,2007,27(10):793-796. 被引量:1959
  • 2郭磊,白希壮,张世亮,周波.关节镜下关节灌洗清理术对老年性膝关节骨关节炎的疗效分析[J].中国医科大学学报,2007,36(5):584-586. 被引量:23
  • 3Siparsky P, Ryzewicz M, Peterson B, et al. Arthroscopic treatment of osteoarthritis of the knee: are there any evidence-based indications [ J]. Clin Orthop ,2007,455 : 107-112.
  • 4廖培松,刘晓光.补肾填精法综合灌注冲洗治疗膝关节骨性关节炎106例分析[J].医学信息(下旬刊),2013,26(15):493.
  • 5O'Connor RL. Arthroscopy in the diagnosis and treat-ment of a- cute ligament injuries of the knee[ J]. J Bone Joint Surg (Am) , 1974, 56(2) : 333-337.
  • 6Jackson RW, Dieterichs C. The results of arthroscop-ic lavage and debridement of osteoarthritic knees based on the severity of degeneration : A 4 to 6 year symptomatic follow-up [ J ]. Arthrosco- py, 2003, 19(1) : 13-20.
  • 7Spahn G, Hofmann GO, Klinger HM. The effects of arthroscopic joint debridement in the knee osteoarthritis: results of a meta-a- nalysis[ J ]. Knee Surg Sports Traumatol Arthrosc, 2013, 21 (7) : 1553-1561.
  • 8Liu CW, Kuo CL, Chuang SY, et al. Results of infected total knee arthroplasty treated with arthroscopic debridement and con- tinuous antibiotic irrigation system[ J]. Indian J Orthop, 2013, 47(1) : 93-97.
  • 9Spahn G, Klinger HM, Hofmann GO. The effect of arthroscopie debridement and conservative treatment in knee osteoarthritis: Results of a 5-year follow-up and literature review[ J]. Sportver- letz Sportschaden, 2013, 27(4) : 226-231.
  • 10Yi JW, Lee WS, Kim SB,et al. Effect of zoledronate on the ex- pression of vascular endothelial growth factor-a by articular chon- drocytes andsynovial cells:an in vitro study [ J ]. J Bone Metab, 2014, 21(4) : 249-255.

引证文献10

二级引证文献79

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部