CAJ | 학술논문

目的评价射频热凝术治疗中老年人膝关节顽固性疼痛的临床疗效.方法 2011年1月至2012年4月期间收治的我院门诊与住院的膝骨性关节伴顽固性疼痛的患者18例,用连续射频热凝去神经化治疗,并与同期行关节镜清理联合腔内注射复方倍他米松的膝骨性关节炎患者20例进行对照.分别于术前、术后1、4、12周用牛津膝关节评分问卷及VAS疼痛评分评估.结果射频消融组与对照组治疗前后疗效比较差异均有统计学意义(Foxnrd＝4.12、3.98,FvAs＝3.98、4.11,P＜0.05),术后1、4、12周组间比较差异均无统计学意义(toxford＝1.215、1.426,tVAS＝1.319、1.123、0.867,P＞0.05).结论中老年膝骨性关节炎伴顽固性疼痛的患者,用射频热凝术去神经化,创伤小,可有效缓解疼痛,促进功能恢复.
목적 평개사빈열응술치료중노년인슬관절완고성동통적림상료효.방법 2011년1월지2012년4월기간수치적아원문진여주원적슬골성관절반완고성동통적환자18례,용련속사빈열응거신경화치료,병여동기행관절경청리연합강내주사복방배타미송적슬골성관절염환자20례진행대조.분별우술전、술후1、4、12주용우진슬관절평분문권급VAS동통평분평고.결과 사빈소융조여대조조치료전후료효비교차이균유통계학의의(Foxnrd＝4.12、3.98,FvAs＝3.98、4.11,P＜0.05),술후1、4、12주조간비교차이균무통계학의의(toxford＝1.215、1.426,tVAS＝1.319、1.123、0.867,P＞0.05).결론 중노년슬골성관절염반완고성동통적환자,용사빈열응술거신경화,창상소,가유효완해동통,촉진공능회복.
Objective To investigate the effects of radiofrequency thermocoagulation in relieving refractory pain of knee osteoarthritis in older patients.Methods A total of 18 patients with refractory pain of knee osteoarthritis were under treatment of radiofrequency thermocoagulation to denervation and compared to 20 patients with refractory pain of knee osteoarthritis which were under treatment of arthroscopy combined with compound betamethasone (control group).The Oxford knee score and visual analogue scale were used to evaluate the clinical effects before operation,at 1 week,4 weeks and 12 weeks after operation.Results There were significant decreases in both groups after operation than before operation(Foxford ＝4.12,3.98,FVAS ＝3.98,4.11,both P＜0.05),but there were no statistics differences between radiofrequency thermocoagulation group and control group at 1 week,4 weeks and 12 weeks after operation(toxford ＝ 1.215,1.426; tVAS＝1.319,1.123,0.867,P＞0.05).Conclusions The treatment of radiofrequency thermocoagulation is a minimally invasive method,which can relieve refractory pain of knee osteoarthritis in middle and older patients and recover knee function effectively.