摘要
目的 探讨关节镜对膝关节骨关节炎的治疗作用和影响因素。方法 在关节镜下行膝关节检查和关节清理术 ,共治疗 6 7例 (71膝 ) ,男 2 1例 ,女 46例。结果 随访 6个月～ 6年 ,平均 3.2年。术后综合评估 :优16膝 ,良 35膝 ,可 12膝 ,差 8膝。优良率 70 %。结论 关节清理术对早期OA疗效良好 ,具有损伤小、恢复快、并发症少等优点 ,为治疗膝关节OA较为理想的方法 ,但对肥胖伴有膝内翻的患者和广泛滑膜切除者疗效差。
Objectives To discuss the arthroscopic role of treatment of osteoarthritis of the knee and factors of influence. Methods Arthroscopic examinations and debridements were performed on 71 knees in 67 patients with osteoarthritis of the knee. Results All the patients were followed up for 0.5～6 years,with an average of 3.2 years.According to a comprehensively score,the excellent and good rate were 70%.Conclusions Arthroscopic debridement was the first selection of the surgical treatment for early stage of osteoarthritis in the knee and had the advantages of less injury,fast recovery,less complication,and was an effective method for the treatment of osteoarthritis of the knee.Extensive synovectomy and fat patients with geun varum showed unsatisfactory results.
出处
《宁夏医学杂志》
CAS
2001年第12期713-714,共2页
Ningxia Medical Journal
