关节镜清理联合靶向消融治疗早中期膝骨关节炎的临床观察

Clinical Observation of Arthroscopic Debridement Combined with Targeted Ablation in the Treatment of Early and Middle Stage Knee Osteoarthritis

目的:探讨关节镜清理联合靶向消融治疗早中期膝骨关节炎(KOA)的手术方法与临床疗效。方法:回顾性分析2018年12月至2019年7月,采用关节镜清理联合靶向消融治疗的54例分期为早期或中期的KOA患者(观察组)临床资料,并与先期采用常规膝关节镜清理术治疗的54例早中期KOA患者(对照组)进行比较。结果:两组患者术后均成功随访,术后第1,6,12个月观察组Lysholm评分、末次随访美国纽约特种外科医院膝关节功能(HSS)评分均显著优于对照组,膝关节的功能得到改善,差异有统计学意义(P<0.05);疼痛视觉模拟评分(VAS)显著低于对照组,膝关节疼痛程度明显减轻,差异有统计学意义(P<0.05)。结论:关节镜清理联合靶向消融治疗早期或中期KOA,在近期改善患者膝关节功能和减轻膝关节疼痛方面具有显著效果。

Objective:To investigate the surgical methods and clinical efficacy of arthroscopic debridement combined with targeted ablation for early and middle stage knee osteoarthritis.Methods:54patients(observation group)with early or middle stage osteoarthritis of the knee were treated by arthroscopic clearance combined with targeted ablation from December 2018to July 2019in the clinical data.The results were compared with 54patients(control group)with early and middle stage knee osteoarthritis who were treated by conventional arthroscopy in the early.Results:The postoperative Lysholm score and hospital for special surgery knee score(HSS score)of the last follow-up were significantly higher in the observation group 1st,6th and 12th month after surgery than in the control group,and the function of knee joint was improved with statistically significant difference between two groups(P<0.05).Visual analogue scale(VAS)score was significantly lower than that of the control group,and the degree of knee pain was significantly reduced(P<0.05).Conclusion:Arthroscopic debridement combined with targeted ablation for the treatment of early or middle stage osteoarthritis of the knee has a significant effect on improving knee function and alleviating knee joint pain in the near future.