CAJ | 학술논문

目的：探讨关节镜下滑膜切除术在强直性脊柱炎膝关节病变中的疗效。方法回顾性分析2011年5月至2012年2月郑州大学第一附属医院骨科37例行关节镜下膝关节滑膜切除术的强直性脊柱炎患者的临床资料。术后随访2个月~1.5年，平均6个月。结果 Lysholm 评分从术前（33.8±2.4）分升至术后（83.8±12.4）分，差异有统计学意义（P <0.05）。37例中优24例（64.9%），良9例（24.3%），中3例（8.1%），差1例（2.7%），优良率为89.2%。36例患者手术效果满意。结论关节镜下滑膜切除可有效缓解强直性脊柱炎患者膝关节病变症状，疗效确切，值得推广。
목적：탐토관절경하활막절제술재강직성척주염슬관절병변중적료효。방법회고성분석2011년5월지2012년2월정주대학제일부속의원골과37례행관절경하슬관절활막절제술적강직성척주염환자적림상자료。술후수방2개월~1.5년，평균6개월。결과 Lysholm 평분종술전（33.8±2.4）분승지술후（83.8±12.4）분，차이유통계학의의（P <0.05）。37례중우24례（64.9%），량9례（24.3%），중3례（8.1%），차1례（2.7%），우량솔위89.2%。36례환자수술효과만의。결론관절경하활막절제가유효완해강직성척주염환자슬관절병변증상，료효학절，치득추엄。
Objective To study the clinical effect of arthroscopic synovectomy on knee lesion in patients with ankylosing spondylitis. Methods The clinical data of 37 patients with ankylosing spondylitis who were performed with arthroscopic synovectomy for knee lesion from May 2011 to Feb-ruary 2012 were analyzed retrospectively. Results All the patients were followed up for 2 months to 1. 5 years,averaged 6 months. The Lysholm scores increased from(33. 8 ± 2. 4)before operation to(83. 8 ± 12. 4)after operation( P < 0. 05). The therapeutic efficacy was excellent in 24 cases (64. 9 % ),good in 9 cases( 24. 3 % ),moderate in 3 cases( 8. 1% ) and worse in 1 case (2. 7% ). The excellent rate was 89. 2% . Conclusions Arthroscopic synovectomy can effectively recover the function of knee joint in patients with ankylosing spondylitis and relieve its symptoms,and should be used widely.