膝关节镜下有限清理术治疗膝关节骨性关节炎的临床研究

Clinical Study of Limited Debridement Under Arthroscopic on the Treatment of Knee Osteoarthritis

目的探讨膝关节镜下清除手术用于膝关节骨性关节炎(knee osteoarthritis, KOA)的治疗效果。方法选取作者医院收治的60例KOA患者,以清除方式及患者意愿对其分组,对照组30例行广泛清理治疗,实验组30例行有限清理,对两组治疗结果进行研究。结果实验组手术时长、关节腔积液消失时间、住院时间较对照组更短(P<0.05);与对照组相比,实验组术后6个月Lyshlom评分更高,视觉模拟评分(visual analogue score,VAS)相对更低(P<0.05);实验组的优良率高于对照组的(96.67%vs. 80.00%);两组术前日常生活能力量表(activty of daily living scale,ADL)评分相比,无统计学差异(P>0.05),实验组术后1周、1个月ADL评分与对照组相比,均相对更高(P<0.05)。结论膝关节镜下有限清理治疗KOA效果显著,可减轻患者疼痛,缩短住院时间,促进膝关节功能快速恢复,提升患者日常生活能力。

Objective To investigate the effect of knee arthroscopic debridement on the treatment of knee osteoarthritis(KOA).Methods A total of 60 patients with KOA in the author’s hospital were selected.According to the patients’ intentions or methods of operation, they were divided into control group and the experimental group,with 30 cases in each group.The control group were treated with extensive cleaning, while the experimental group were carried out limited debridement under arthroscopic. The treatment results of the two groups were analyzed. Results The duration of operation, disappearance time of articular cavity effusion and hospitalization time in the experimental group were shorter than those in the control group(P<0.05). Compared with the control group, The Lyshlom score was higher and visual analogue score(VAS) score was lower after 6 months in the experimental group(P<0.05). The excellent and good rate of the experimental group was higher than that of the control group(96.67% vs.80.0%). There was no significant difference in preoperative activty of daily living scale(ADL) scores between the two groups(P>0.05), and the ADL scores of the experimental group were higher than those of the control group at 1 week and 1 month after the operation(P<0.05).Conclusion The limited debridement under arthroscopic can treat KOA effectively, which can reduce pain, shorten hospital stay, promote rapid recovery of knee function, and improve patients’ daily living ability.