本文選題：膝關(guān)節(jié)骨關(guān)節(jié)炎　切入點：關(guān)節(jié)鏡　出處：《中國現(xiàn)代醫(yī)學(xué)雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的探討關(guān)節(jié)鏡治療不同X線分級、不同病因癥狀性膝關(guān)節(jié)骨關(guān)節(jié)炎的臨床療效。方法選取2015年1月-2015年12月首診為癥狀性膝關(guān)節(jié)骨關(guān)節(jié)炎的病例,依據(jù)Kellgren-Lawrence X線分級標(biāo)準(zhǔn)(kellgrenlawrence grading system,KL)將患者分級,回顧膝關(guān)節(jié)鏡下的手術(shù)操作,記錄半月板成形、炎性滑膜切除、游離體摘除及軟骨剝脫微骨折等操作。根據(jù)患者的KL分級和病因進(jìn)行分類隨訪。記錄術(shù)后主觀滿意度、術(shù)前及術(shù)后Lysholm膝關(guān)節(jié)評分,進(jìn)行統(tǒng)計學(xué)分析。結(jié)果不同KL分級患者術(shù)后滿意度比較,差異有統(tǒng)計學(xué)意義(P0.05);KL分級為0級、Ⅰ級以及Ⅱ級的患者Lysholm評分較術(shù)前比較差異有統(tǒng)計學(xué)意義(P0.05);Ⅲ級患者Lysholm評分較術(shù)前比較差異無統(tǒng)計學(xué)意義(P0.05)病因為單純炎性滑膜增生、炎性滑膜增生合并半月板損傷、炎性滑膜增生合并游離體形成的患者Lysholm評分較術(shù)前比較差異有統(tǒng)計學(xué)意義(P0.05);病因為炎性滑膜增生合并軟骨剝脫的患者Lysholm評分較術(shù)前比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論對于KL分級不超過Ⅱ級和病因為炎性滑膜增生、半月板損傷、游離體形成的膝關(guān)節(jié)骨關(guān)節(jié)炎患者,關(guān)節(jié)鏡治療效果明確。對于KL分級超過Ⅱ級和病因為軟骨剝脫的患者,關(guān)節(jié)鏡治療效果不理想。
[Abstract]:Objective to investigate the clinical efficacy of arthroscopy in the treatment of symptomatic knee osteoarthritis with different X-ray grades and etiology. Methods from January 2015 to December 2015, the first diagnosed cases of symptomatic osteoarthritis of knee joint were selected. According to the Kellgren-Lawrence X-ray grading standard, the patients were graded. The surgical procedures under knee arthroscopy were reviewed, meniscus formation and inflammatory synovectomy were recorded. The patients were followed up according to KL classification and etiology. Subjective satisfaction, preoperative and postoperative Lysholm knee score were recorded. Results compared with the patients with different KL grade, the difference was statistically significant (P 0.05) and KL grade was 0. The Lysholm score of grade 鈪，

本文編號：1589186