关节镜手术治疗膝骨性关节炎的体会A rthroscopic surgery for knee osteoarthritis
李贵山;陶冶;徐水养;张华;谢长伟;原小兵;
摘要(Abstract):
[目的]探讨膝关节镜下有限清理联合透明质酸钠注射治疗骨性关节炎的疗效。[方法]本院2003年9月~2004年10期间治疗的45例(52膝),采用关节镜下清理术联合透明质酸钠注射治疗,术后早期功能锻炼。[结果]参照Lyscholm评价标准,经1 a随访,优良率93.3%,未出现感染、血肿、血管及神经损伤等并发症。[结论]关节镜术下有限清理联合透明质酸钠注射治疗膝骨关节炎,术后疗效满意,笔者认为在把握好手术适应证的基础上,该方法应该作为膝骨性关节炎的首选治疗方法。
关键词(KeyWords): 膝关节;骨性关节炎;关节镜;透明质酸钠
基金项目(Foundation):
作者(Author): 李贵山;陶冶;徐水养;张华;谢长伟;原小兵;
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DOI:
参考文献(References):
- [1]D ervin GF,Stiell IG,Rody K,et al.E ffect of arthroscop ic debridem entfor osteoarthritis of the knee on health-related quality of life[J].JBone Joint Surg Am,2003,85(1):10.
- [2]Jsckson RW,D ieterichs C.The resu lts of arthroscop ic lavage and de-bridem ent of osteoarthritic knees based on the severity of degeneration:a 4-to 6-year symptomatic follow-up[J].Arthroscopy,2003,19(1):13.
- [3]何志勇,吴海山,吴宇黎,等.关节镜下有限与广泛清理术治疗膝骨性关节炎的临床比较[J].中国矫形外科杂志,2004,15:9-14.
- [4]Fom terMC,Straw R.A prospective random ized trial comparing in Ca-articu larHyalgan in jection and arthroscop ic washout for knee osteoar-thritis[J].Knee,2003,10(3):291.
- [5]Gu idolin DD,Ronchetti IP,L in i E,et al.Morphonological analysis ofarticu lar cartilage b iopsies from a random ized,clin ical study comparingthe effects of 500-730 kDa sod ium hyaluronate(Hyalgan)and m ethyl-predn isolone acetate on primary osteoarthritis of the knee[J].Osteoar-thritis Cartilage,2001,9(4):371.