膝关节镜清理术治疗膝骨性关节炎的临床观察

Clinical Observation of Knee Arthroscopic Debridement for Knee Osteoarthritis

目的研究膝骨性关节炎采用膝关节镜清理术治疗的临床优势。方法选择100例膝骨性关节炎病患,按照治疗方式差异均分两组。对照组应用透明质酸钠注射保守治疗,观察组应用膝关节镜清理术治疗,比较两组临床疗效、治疗前后不同阶段Lysholm评分与VAS评分,统计治疗后复发率差异。结果对照组总有效率为84.00%,观察组总有效率为98.00%。对照组治疗3个月及6个月时Lysholm评分分别为(59.31±3.25)分与(74.92±3.88)分,VAS评分分别为(4.55±0.64)分与(3.17±0.58)分;观察组治疗3个月及6个月时Lysholm评分分别为(85.44±3.62)分与(91.07±3.24)分,VAS评分分别为(3.03±0.29)分与(0.93±0.16)分。对照组复发率为16%,观察组仅为2%。结论相对于保守治疗,膝关节镜清理术对膝骨性关节炎病患膝关节功能改善作用更明显,可尽早降低炎症所致疼痛程度,控制炎症复发率。

Objective To study the clinical advantages of knee arthroscopic debridement for knee osteoarthritis.Methods 100 patients with knee osteoarthritis were divided into two groups according to the difference of treatment methods.The control group was treated with sodium hyaluronate injection and the observation group was treated with knee arthroscopic debridement.The clinical efficacy,Lysholm score and VAS score at different stages before and after treatment were compared between the two groups.The recurrence rate after treatment was statistically different.Results The total effective rate was 84.00%in the control group and 98.00%in the observation group.The Lysholm score of the control group was(59.31±3.25)and(74.92±3.88)at 3 months and 6 months after treatment,and the VAS score was(4.55±0.64)and(3.17±0.58)respectively.The Lysholm score of the observation group was(85.44±3.62)and(91.07±3.24)at 3 months and 6 months after treatment,and the VAS score was(3.03±0.29)and(0.93±0.16)respectively.The recurrence rate was 16%in the control group and 2%in the observation group.Conclusion Compared with conservative treatment,knee arthroscopic debridement can improve knee function of knee osteoarthritis patients more obviously.It can reduce the degree of pain caused by inflammation as early as possible and control the recurrence rate of inflammation.