摘要
目的 :探讨膝关节Ⅰ、Ⅱ、Ⅲ期骨关节炎 (AO)的临床特点和症状及相应治疗方法。方法 :对 2 0例膝关节骨关节炎的病史、体征、X线检查等进行回顾分析研究。对膝关节腔内注射透明质酸钠、关节镜下膝关节清理术、全膝关节置换术治疗不同病程的膝关节骨关节炎的临床效果进行评价。结果 :膝关节骨性关节炎Ⅰ期采用关节腔内注射透明质酸钠 ,Ⅱ期应用关节镜下膝关节清理术 ,Ⅲ期行全膝关节置换术 ,平均随访 2 5年。优良率分别是 81%、 77%、88% (Shahriaree评分法 )。结论 :根据膝关节骨关节炎的Ⅰ、Ⅱ、Ⅲ期不同临床表现和病理改变 ,选择有效的治疗方法 。
Objective:To investigate the clinical symptoms and charater of stage Ⅰ,stage Ⅱ and stage Ⅲ of OA in knee and to suggest some treatments Methods:The medical history,physical sign and X ray film of 206 cases osteoarthritis of the knee were analysed and reviewed To evaluate the value of curative effects of intraarticular injection with natrii hyaluronic acid,arthroscopic debridement and total knee arthroplasty for treatment different clinical manifestation of osteoarthritis in knee Results:The natrii hyaluronic acid were injected into the cavity of knee joint with osteoarthritis of knee at stage Ⅰ The arthroscopic debridement was performed at stage Ⅱ The total knee arthroplasty was performed at stage Ⅲ The excellent and good rate was achived in 81%,77%,and 88% at an average of 2 5 years follow up (According to shahriaree score) Conclusion:According to the different clinical symptoms and pathologic deformity of osteoarthritis of knee at stage Ⅰ,stage Ⅱ and stage Ⅲ,selecting the preferable treatment method can acquire good effects
出处
《广州医药》
2002年第1期29-30,共2页
Guangzhou Medical Journal
