关节镜下微创有限清理术与广泛清理术治疗膝关节骨性关节炎的临床效果

Clinical effects of minimally invasive limited debridement and extensive debridement under arthroscope in the treatment of knee osteoarthritis

目的探讨关节镜下微创有限清理术与广泛清理术治疗膝关节骨性关节炎的临床效果。方法选取我院收治的74例膝关节骨性关节炎患者,采用随机数字表法将其分为对照组(37例,关节镜下广泛清理术)和观察组(37例,关节镜下微创有限清理术)。比较两组的治疗效果。结果观察组的手术、住院时间均明显短于对照组(P<0.05)。术后1个月,观察组的Lysholm评分明显高于对照组(P<0.05)。观察组膝关节功能恢复优良率明显高于对照组(P<0.05)。术后,两组的IL-1β、TNF-α水平均降低(P<0.05);但组间比较,差异不显著(P>0.05)。结论关节镜下微创有限清理术治疗膝关节骨性关节炎的临床效果显著,可缩短手术时间,加快膝关节功能改善速度,促进患者康复。

Objective To explore the clinical effects of minimally invasive limited debridement and extensive debridement under arthroscope in the treatment of knee osteoarthritis. Methods A total of 74 patients with knee osteoarthritis admitted in our hospital were selected and divided into control group(37 cases, extensive debridement under arthroscope) and observation group(37 cases, minimally invasive limited debridement under arthroscope) using the random number table method. The therapeutic effects of the two groups were compared. Results The operation and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05);one month after operation, the Lysholm score of the observation group was significantly higher than that of the control group(P<0.05). The excellent and good rate of knee joint function recovery of the observation group was significantly higher than that of the control group(P<0.05).After operation, the levels of IL-1β and TNF-α of the two groups decreased(P<0.05), but there was no significant difference between the two groups(P>0.05). Conclusion Minimally invasive limited debridement under arthroscope has a significant clinical effect in the treatment of knee osteoarthritis, which can shorten the operation time, accelerate the improvement of knee joint function and promote the recovery of patients.