摘要
目的:探讨关节镜下关节清理术对膝关节骨性关节炎(OA)的治疗效果。方法:对64例(73膝)膝关节骨性关节炎患者行关节镜检查,根据病变情况进行关节镜下选择清理术,包括有限清理增生嵌顿的滑膜、对退变松动的软骨磨削修整,摘除游离体,部分切除破损的半月板,对影响活动的巨大骨赘和关节内不稳定骨刺进行咬除磨削,对剥脱性骨软骨炎采取骨髓刺激技术或移植技术修复缺损。结果:本组73膝,疗效优31膝(42.5%),良25膝(34.2%),中15膝(20.5%),差2膝(2.8%),优良率为76.7%。结论:关节镜清理术可有效缓解OA症状,改善关节功能,提高生活质量。
Objective： To evaluate the arthroscopic debridement for knee osteoarthritis （OA） of treatment. Methods： 64 patients （73 knees） with osteoarthritis of the knee arthroscopy patients, lesions were based on selected arthroscopic debridement. Incarceration, including synovial hyperplasia limited clean-up of the grinding of cartilage degeneration loose dressing, removal of loose bodies, partial resection of the damaged meniscus, the influence of osteophytes and joint activities in the great spur for the unstable bite than grinding. Results： 73 knees, 31 knees excellent efficacy （42.5%）; good in 25 knees （34.2%）; in 15 knees （20.5%）; and poor in 2 knees （2.8%）. Excellent 76.7%. Conclusions： Arthroscopic debridement can be effective in relieving OA symptoms and improve joint function and improve quality of life.
出处
《亚太传统医药》
2010年第11期125-126,共2页
Asia-Pacific Traditional Medicine
