膝关节镜治疗症状性膝关节骨关节炎的临床效果

Clinical efficacy of knee arthroscopy in the treatment of symptomatic knee osteoarthritis

目的探讨膝关节镜治疗症状性膝关节骨关节炎的临床效果。方法选取2016年1月~2017年7月我院收治的80例症状性膝骨性骨性关节炎患者作为研究对象,按照随机数字法分为两组(对照组与观察组),每组各40例。对照组患者实施玻璃酸钠注射液膝关节腔内注射,观察组患者在对照组基础上,实施膝关节镜下关节清理术,比较治疗过程中患者的膝关节疼痛VAS评分,治疗后患者膝关节ROM角度变化和膝关节Lysholm功能评分,统计两组患者的临床效果。结果治疗后1周和治疗后4周,观察组患者的膝关节疼痛VAS评分低于对照组(P<0.05);治疗后观察组患者的膝关节ROM角度大于对照组(P<0.05),膝关节Lysholm功能得分高于对照组(P<0.05);观察组患者的治疗优良率为95.0%,显著高于对照组的75.0%,差异均有统计学意义(P<0.05)。结论针对存在明显临床症状的膝关节骨性关节炎患者,以膝关节镜联合玻璃酸钠治疗,可有效缓解患者疼痛,改善膝关节功能,提高临床治疗效果。

Objective To investigate the clinical efficacy of knee arthroscopy in the treatment of symptomatic knee os- teoarthritis.Methods 80 cases with symptomatic knee osteoarthritis treated in our hospital from January 2016 to July 2017 were selected as the subjects,and divided into the two groups （control group and observation group） by random table method,40 cases in each group.The control group were treated with intraperitoneal injection of sodium hyaluronate injection in the knee joint.The observation group was treated with knee arthroplasty under the control group.The VAS score of the knee joint pain during the treatment were compared,the joint ROM angle changes,knee Lysholm functional score and the overall clinical treatment between the two groups were compared.Results The VAS score of knee joint pain in the observation group was lower than the control group at 1 week and 4 weeks after treatment （P〈0.05）.The ROM angle in the observation group was higher than that in the control group （P〈0.05）.The Lysholm function score in the observation group was higher than that in the control group （P〈0.05）.The excellent rate of overall treatment in the observation group was 95.0%,which was significantly higher than 75.0% of the control group,the difference was statistically significant （P〈0.05）.Conclusion Knee arthritis combined with sodium hyaluronate can effectively relieve pain in patients with knee joint,improve knee function,and improve the clinical effect in the treatment of osteoarthritis of knee joint with obvious clinical symptoms.