摘要
目的:探讨关节镜下膝关节灌洗清理术治疗膝关节骨关节炎(OA)的疗效。方法:1999-2006年作者对85例(118膝)膝关节OA老年患者进行关节镜检查及镜下灌洗清理术。结果:关节镜下软骨退变分级与X线检查改变程度的符合率较低(47%)。平均随访24个月(6～40个月),术后综合评估:近期(2年内)优良率为77%,远期(2年以上)优良率为60%。Ⅰ￣Ⅱ度关节软骨退变病例术后近期与远期优良率无显著性差异;但Ⅲ度关节软骨退变病例术后远期优良率明显低于近期,(P<0.05)。结论:关节镜检有利于膝关节OA的早期诊断,镜下灌洗清理术对早期膝关节OA老年患者有良好疗效,且有创伤小、恢复快、并发症少等优点。对于Ⅲ度关节软骨退变的老年OA患者,关节镜下灌洗清理术的远期疗效不理想。
Objective：To investigate the therapeutic effect of arthroscopic debridement on osteoarthritis of the knee （OA knee） in elderly patients. Methods：Arthroscopy and arthroscopic debridement were performed on 118 knees of 85 elderly patients with OA knee between 1999 and 2006. Results：Coincidence rate between the radiographic changes and the degenerative cartilage changes examined by arthroscopy was 47%. All the patients were followed up for 24 months （range 6 to 40 months）. According to comprehensive assessment, the excellent rate was 77% within 2 years （short-term） and 60% above 2 years （long-term）,respectively. No significant differences in long-term and short-term excellent rates were found in patients with Ⅰ° to Ⅱ° cartilage degeneration. In patients with Ⅲ° cartilage degeneration, the long-term excellent rates were significantly lower than short-term excellent rates （P 〈 0.05 ）. Conclusion：Arthroscopy is a useful method for early diagnosis of OA knee. The advantages of arthroscopic debridement in elderly patients with OA knee include less injury, fast recovery, and less comphcation. The long-term outcome of arthroscopic debridement is unsatisfactory in elderly patients with mo cartilage degeneration.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2007年第5期584-586,共3页
Journal of China Medical University
基金
辽宁省教育厅高等学校科研基金资助项目(05L508)
