中华关节外科杂志（电子版）
中華關節外科雜誌（電子版）
중화관절외과잡지（전자판）
CHINESE JOURNAL OF JOINT SURGERY(ELECTRONIC VERSION)
2009年
4期
459-462
,共4页
杨雷刚%涂忠民%周军峰%高大龙%董舒%任军龙%解俊杰%张文凯%赵昕
楊雷剛%塗忠民%週軍峰%高大龍%董舒%任軍龍%解俊傑%張文凱%趙昕
양뢰강%도충민%주군봉%고대룡%동서%임군룡%해준걸%장문개%조흔
大骨节病%X线%骨关节炎%外科手术
大骨節病%X線%骨關節炎%外科手術
대골절병%X선%골관절염%외과수술
KASCHIN-BECK DISEASE%X-Rays%Osteoarthritis%Surgical procedures
目的 探讨手术治疗成人膝大骨节病的疗效.方法 对222例成人膝大骨节病患者根据病情程度,选择关节镜下有限清理加钻孔减压术、关节镜下有限清理加截骨、切开关节清理或合并截骨、人工关节置换术.结果 本组222例术后随访1.5～5年,术后均无严重疼痛,功能障碍及假体松动、下沉、倾斜、脱位,无下肢深静脉血栓形成,无肺栓塞、腓总神经压迫损伤及关节不稳等并发症.有2例关节血肿,经关节抽液后消失,1例浅表感染,经关节冲洗后痊愈.按Hss关节评分等级评价优良率为72%.结论 根据病情程度选择手术治疗成人膝大骨节病,可以缓解关节疼痛,改善关节功能,近期疗效较满意.
目的 探討手術治療成人膝大骨節病的療效.方法 對222例成人膝大骨節病患者根據病情程度,選擇關節鏡下有限清理加鑽孔減壓術、關節鏡下有限清理加截骨、切開關節清理或閤併截骨、人工關節置換術.結果 本組222例術後隨訪1.5～5年,術後均無嚴重疼痛,功能障礙及假體鬆動、下沉、傾斜、脫位,無下肢深靜脈血栓形成,無肺栓塞、腓總神經壓迫損傷及關節不穩等併髮癥.有2例關節血腫,經關節抽液後消失,1例淺錶感染,經關節遲洗後痊愈.按Hss關節評分等級評價優良率為72%.結論 根據病情程度選擇手術治療成人膝大骨節病,可以緩解關節疼痛,改善關節功能,近期療效較滿意.
목적 탐토수술치료성인슬대골절병적료효.방법 대222례성인슬대골절병환자근거병정정도,선택관절경하유한청리가찬공감압술、관절경하유한청리가절골、절개관절청리혹합병절골、인공관절치환술.결과 본조222례술후수방1.5～5년,술후균무엄중동통,공능장애급가체송동、하침、경사、탈위,무하지심정맥혈전형성,무폐전새、비총신경압박손상급관절불은등병발증.유2례관절혈종,경관절추액후소실,1례천표감염,경관절충세후전유.안Hss관절평분등급평개우량솔위72%.결론 근거병정정도선택수술치료성인슬대골절병,가이완해관절동통,개선관절공능,근기료효교만의.
Objective To observe the surgical effect on the treatment of adult KBD patients.Methods 222 cases of adult patients with Kashin-Beck client were followed up. The treatment selection included limited arthroscopic decompression bored add clean-up, limited arthroscopic clean-up add osteotomy, open joints clean-up or merger of osteotomy, artificial joint replacement.Results 222 postoperative cases were followed-up for 1.5-5 years. No severe postoperative pain, dysfunction and prosthetic loosening, subsidence, tilt, dislocation, no deep venous thrombosis without pulmonary embolism, common peroneal nerve compression injury or complications such as joint instability were occurred. Articular hematoma happened in two cases, after aspiration of joint fluid the symptom was disappeared. One case had superficial infection and recovered by the joint irrigation. The motor function of hip was evaluated by Harr hip score, excellent and good rate was 72%. Conclusions Surgical treatment of adult Kashin-Beck disease according to the different severity of disease, which can alleviate the joint ache and improve joint movable function, and gives good and excellent outcomes.
