关节镜下骨赘清理治疗膝关节骨性关节炎

Study the Arthroscopic Excision of Osteophyte in Knee Osteoarthritis

目的研究关节镜下骨赘清理治疗膝关节骨性关节炎的效果。方法选择我院2016年10月—2017年10月收治的膝关节骨性关节炎患者98例,按照入院顺序分为对照组与研究组各49例。对照组采用传统关节镜下清理术,研究组采用关节镜下骨赘清理治疗。比较两组患者疼痛、膝关节功能与活动度。结果术前两组患者疼痛、膝关节功能与活动度均无显著差异(P> 0.05),术后1d与术后7d研究组疼痛显著优于对照组,术后20d研究组膝关节功能与活动度显著优于对照组,差异有统计学意义(P <0.05)。结论通过对膝关节关节炎患者实施关节镜下骨赘清理,患者疼痛较少,且关节的活动度明显得到改善,值得临床进一步研究。

] Objective To study the efficacy of arthroscopic excision ofosteophyte in knee osteoarthritis （KOA）. Methods 98 KOA patientstreated from October 2016 to October 2017 in our hospital were selected.The subjects were assigned to two groups according to the registrationnumber, 49 cases each group. The control group adopted the conventionalarthroscopic debridement; the study group adopted the arthroscopic excisionof osteophyte. The pain degree, knee joint function and range of motionwere probed. Results Before surgery, there were no significant betweengroupdifference in the pain degree, knee joint function and range of motion（P 〉 0.05）; After 1 d and 7 d of surgery, the pain degree in the study groupwas significantly lower than control group; after 20 d of surgery, the kneejoint function and range of motion in the study group were significantlybetter than control group （P 〈 0.05）. Conclusion The arthroscopic excisionof osteophyte can relieve the pain and improve the range of motion. It shallbe further explored in clinical practice.[