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老年性退变膝──关节镜手术治疗 被引量:8

Degenerative knee in elderly──experience with arthroscopic treatment
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摘要 对92例老年人退变性膝关节病(108个膝关节)施行了关节镜手术。手术操作包括关节软骨面清创、滑膜切除、游离体去除、半月板切除、骨赘切除以及关节灌洗术。经3~36个月随访,疗效优良者占72.2%。随访期3~12个月者优良率为76.2%,而随访25~36个月者为60.0%,提示此手术的近期疗效优于远期疗效。该手术具有创伤小、恢复快的优点,对中度退变膝不伴膝内、外翻的患者疗效较好。 Abstract Ninty two elderly patients(108 diseased knees) with degenerative arthritis of the knee underwent arthroscopic treatment.The surgical procedures included debridement of cartilaginous lesions, synovectomy,removal of loose bodies,meniscectomy,excision of osteophytes and fluid irrigation.In a follow-up period of 3-36 monthes,72.2% of the knees had an excellent and good result.In the group followed for 3-12 monthes,the rate of excellent and good result was 76.2%;in the group followed for 25-36 monthes,the rate was 60.0%.It is shown that the effect of the operation was better in short term than in long term.This operation causes little injury,shortens the period of recovery and gives a better result for degenerative knee of moderate severity and without varus or vaglus.
出处 《中华老年医学杂志》 CAS CSCD 北大核心 1995年第4期234-236,共3页 Chinese Journal of Geriatrics
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  • 1柴本甫,中华外科杂志,1992年,30卷,1期,20页

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