中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
12期
1950-1951
,共2页
膝关节%髌骨%软骨症%关节镜%疗效
膝關節%髕骨%軟骨癥%關節鏡%療效
슬관절%빈골%연골증%관절경%료효
Knee joint%The patella%Rickets%Arthroscopy%Curative effect
目的：探究膝关节髌骨软骨症关节镜治疗的疗效。方法：对我院2008年8月～2010年7月收治的53例膝关节髌骨软骨症患者进行回顾性分析，其中29例患者采用关节镜治疗，纳入观察组，其余24例患者采用关节内注射透明质酸钠治疗，纳入对照组，观察两组患者治疗前后膝关节评分(HSS)及治疗效果。结果：两组患者治疗前平均HSS评分分别为21.2及20.9分，治疗后分别升至46.7及35.4分，其HSS评分均在治疗后有所上升，且观察组上升程度明显高于对照组，数据对比存在显著统计学差异；观察组，优12例，良13例，优良率86.2%，对照组，优6例，良9例，优良率62.5%，观察组疗效明显优于对照组，数据对比存在显著统计学差异(P<0.05)。结论：关节镜治疗膝关节髌骨软骨症较常用透明质酸钠注射治疗具有膝关节功能改善程度好、恢复快、安全性高等多种优势，且治疗成本低，患者痛苦小，值得临床广泛推广。
目的：探究膝關節髕骨軟骨癥關節鏡治療的療效。方法：對我院2008年8月～2010年7月收治的53例膝關節髕骨軟骨癥患者進行迴顧性分析，其中29例患者採用關節鏡治療，納入觀察組，其餘24例患者採用關節內註射透明質痠鈉治療，納入對照組，觀察兩組患者治療前後膝關節評分(HSS)及治療效果。結果：兩組患者治療前平均HSS評分分彆為21.2及20.9分，治療後分彆升至46.7及35.4分，其HSS評分均在治療後有所上升，且觀察組上升程度明顯高于對照組，數據對比存在顯著統計學差異；觀察組，優12例，良13例，優良率86.2%，對照組，優6例，良9例，優良率62.5%，觀察組療效明顯優于對照組，數據對比存在顯著統計學差異(P<0.05)。結論：關節鏡治療膝關節髕骨軟骨癥較常用透明質痠鈉註射治療具有膝關節功能改善程度好、恢複快、安全性高等多種優勢，且治療成本低，患者痛苦小，值得臨床廣汎推廣。
목적：탐구슬관절빈골연골증관절경치료적료효。방법：대아원2008년8월～2010년7월수치적53례슬관절빈골연골증환자진행회고성분석，기중29례환자채용관절경치료，납입관찰조，기여24례환자채용관절내주사투명질산납치료，납입대조조，관찰량조환자치료전후슬관절평분(HSS)급치료효과。결과：량조환자치료전평균HSS평분분별위21.2급20.9분，치료후분별승지46.7급35.4분，기HSS평분균재치료후유소상승，차관찰조상승정도명현고우대조조，수거대비존재현저통계학차이；관찰조，우12례，량13례，우량솔86.2%，대조조，우6례，량9례，우량솔62.5%，관찰조료효명현우우대조조，수거대비존재현저통계학차이(P<0.05)。결론：관절경치료슬관절빈골연골증교상용투명질산납주사치료구유슬관절공능개선정도호、회복쾌、안전성고등다충우세，차치료성본저，환자통고소，치득림상엄범추엄。
Objective:To explore the curative effect of knee arthroscopic treatment of patellar cartilage disease. Methods:In our hospital in 2008 August~2010 year in July 53 cases of knee joint patellar cartilage disease were analyzed retrospectively, in which 29 cases were treated with arthroscopic treatment, in the observation group, the other 24 patients were treated with intra-articular injection of sodium hyaluronate injection therapy, were included in the control group, to observe the knee score before and after treatment in the two groups ( HSS ) and the effect of treatment. Results:Two groups of patients before treatment, the average HSS scores were 21.2 and 20.9, respectively, to 46.7 and 35.4 after treatment, the HSS scores have increased after treatment, and the observation group increased significantly higher than that of the control group, there was significant difference in comparison of the data;the observation group 12 cases of excellent, good in 13 cases, excellent rate of 86.2%, control group 6 cases of excellent, good in 9 cases, the excellent and good rate was 62.5%, the observation group was better than control group, there was significant difference in comparison of the data (P<0.05). Conclusion: Treatment with knee joint function improvement degree good, fast recovery, high security advantages of arthroscopic treatment of patellar cartilage disease more commonly used sodium hyaluronate injection, and the treatment of low cost, little pain of patients, is worthy of clinical application.
