关节镜下关节清理加灌洗治疗慢性膝关节骨性关节炎的疗效分析

Efficacy Analysis of Joints Under Arthroscopy Cleaning and Lavage Treat-ment in Patients with Chronic Knee Joint Osteoarthritis

目的探讨关节镜下关节清理加灌洗治疗慢性膝关节骨性关节炎的的临床疗效。方法方便选择该院自2010年1月—2015年1月收治的78例慢性膝关节骨性关节炎患者为研究对象,所有患者均接受关节镜下关节清理加灌洗治疗,术后进行随访,采用膝关节综合评分表和Lysholm评分系统评价治疗效果。结果所有患者均接受随访,平均随访时间(14.5±6.4)个月。患者术后1、6个月及12个月时优良率分别为86.11%%、89.47%及90.91%。术后1、6个月和12个月时膝关节Lysholm评分较术前相比均明显升高,差异有统计学意义(P<0.05)。结论关节镜下关节清理加灌洗治疗慢性膝关节骨性关节炎临床效果显著,值得在临床中推广应用。

Objective To discuss the clinical effect of joints under arthroscopy cleaning and lavage treatment in patients with chronic knee joint osteoarthritis.Methods Convenient selection 78 patients admitted at our hospital from January 2010 to January 2015 with chronic knee joint osteoarthritis were selected and were given joints under arthroscopy cleaning and lavage treatment .All patients were followed up after operation.Using the knee joint comprehensive assessment and Lysholm marking？system to evaluate the clinical effect. Results All patients were followed up after operation and the average fol-low-up time was （14.5±6.4）months.The excellent and good rates of 1 month, 6 months and 12 months after operation were respectively 86.11%%、89.47% and 90.91%.The Lysholm scores of 1 month, 6 months and 12 months after operation all in-creased,difference was statistically significant（all P〈0.05）.Conclusion The clinical effect of joints under arthroscopy clean-ing and lavage treatment in patients with chronic knee joint osteoarthritis is remarkable and is worth popularizing in clinical application.