CAJ | 학술논문

目的探讨关节镜下清理术对老年膝关节骨关节炎的临床治疗效果.方法收集我院85例膝关节骨关节炎患者的病历资料进行回顾性分析,按治疗方式分成关节镜组(43例)和传统组(42例),关节镜组采用关节镜下清理术进行治疗,传统组采用保守方法治疗.比较术后1个月2组手术总有效率,随访12个月比较随访总有效率.结果关节镜组和传统组手术总有效率分别为100％ (43/43)和97.6％(41/42),组间比较差异无统计学意义(P＞0.05)；随访总有效率分别为97.7％(42/43)和78.6％ (33/42),组间比较差异有统计学意义(P＜0.01).结论关节镜清理术能有效治疗老年膝关节骨关节炎,治疗效果较好,长期效果稳定,对老年膝关节骨关节炎患者膝关节功能恢复具有良好的促进作用.
목적 탐토관절경하청리술대노년슬관절골관절염적림상치료효과.방법 수집아원85례슬관절골관절염환자적병력자료진행회고성분석,안치료방식분성관절경조(43례)화전통조(42례),관절경조채용관절경하청리술진행치료,전통조채용보수방법치료.비교술후1개월2조수술총유효솔,수방12개월비교수방총유효솔.결과 관절경조화전통조수술총유효솔분별위100％ (43/43)화97.6％(41/42),조간비교차이무통계학의의(P＞0.05)；수방총유효솔분별위97.7％(42/43)화78.6％ (33/42),조간비교차이유통계학의의(P＜0.01).결론 관절경청리술능유효치료노년슬관절골관절염,치료효과교호,장기효과은정,대노년슬관절골관절염환자슬관절공능회복구유량호적촉진작용.
Objective To investigate the treatment effectiveness of debridement for knee osteoarthritis under arthroscopes.Methods Eighty-five patients with knee osteoarthritis of our hospital were selected and analyzed retrospectively.According the treatment method,all patients were divided into two group which were arthroscopes group (43 cases) and traditional group (42 cases).The patients of arthroscopes group were treated with operation of debridement for knee osteoarthritis under arthroscopes; the patients of traditional group were treated with pulsed magnetic therapy.Results The total effective rate of arthroscopes group and traditional group were 100％ (43/43) and 97.6％ (41/42) respectively.There was no statistically significant difference between groups (P ＞ 0.05).In the follow-up results the total effective rate of arthroscopes group and traditional group were 97.7％ (42/43) and 78.6％ (33/42) respectively.There was statistically significant difference between groups (P ＜ 0.01).Conclusions The method of debridement for knee osteoarthritis under arthroscopes can cure eldedy knee joint osteoarthritis effectivly,showing a steady long-term effect.It has a good promoting function for the knee function recovery of elderly knee joint osteoarthritis.