河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
12期
2027-2029
,共3页
膝关节%骨性关节炎%关节镜%玻璃酸钠
膝關節%骨性關節炎%關節鏡%玻璃痠鈉
슬관절%골성관절염%관절경%파리산납
Knee joint%Osteoarthritis%Arthroscopy%Sodium hyaluronate
目的：探讨关节镜清理配合腔内注射玻璃酸钠治疗膝关节骨性关节炎的临床疗效。方法：关节镜下对117例（158膝）膝关节骨性关节炎患者行滑膜增生刨削，半月板修整或成形，剥离关节软骨及游离体取出术，骨缺损的关节面射频消融等。关节腔内注入玻璃酸钠2．5mL，加压包扎。以后每周注射1次，连续3-5周，术后行股四头肌锻炼及踝泵练习，48h拔出引流后行抬腿练习，1周拆线。结果：术后按Lysholm膝关节评分标准评定，出院时（86．9±11．2）优良率为89．8％，1年随访（78．2±12．8）优良率为80．5％。结论：关节镜清理配合腔内注射玻璃酸钠是治疗膝关节骨性关节炎的可靠方法。
目的：探討關節鏡清理配閤腔內註射玻璃痠鈉治療膝關節骨性關節炎的臨床療效。方法：關節鏡下對117例（158膝）膝關節骨性關節炎患者行滑膜增生鑤削，半月闆脩整或成形，剝離關節軟骨及遊離體取齣術，骨缺損的關節麵射頻消融等。關節腔內註入玻璃痠鈉2．5mL，加壓包扎。以後每週註射1次，連續3-5週，術後行股四頭肌鍛煉及踝泵練習，48h拔齣引流後行抬腿練習，1週拆線。結果：術後按Lysholm膝關節評分標準評定，齣院時（86．9±11．2）優良率為89．8％，1年隨訪（78．2±12．8）優良率為80．5％。結論：關節鏡清理配閤腔內註射玻璃痠鈉是治療膝關節骨性關節炎的可靠方法。
목적：탐토관절경청리배합강내주사파리산납치료슬관절골성관절염적림상료효。방법：관절경하대117례（158슬）슬관절골성관절염환자행활막증생포삭，반월판수정혹성형，박리관절연골급유리체취출술，골결손적관절면사빈소융등。관절강내주입파리산납2．5mL，가압포찰。이후매주주사1차，련속3-5주，술후행고사두기단련급과빙연습，48h발출인류후행태퇴연습，1주탁선。결과：술후안Lysholm슬관절평분표준평정，출원시（86．9±11．2）우량솔위89．8％，1년수방（78．2±12．8）우량솔위80．5％。결론：관절경청리배합강내주사파리산납시치료슬관절골성관절염적가고방법。
Objective:To explore the arthroscopic treatments of knee osteoarthritis with injection of so-dium hyaluronate .Method: 117 cases ( 158 knees ) of knee osteoarthritis underwent synovial hyperplasia cleaning , shaped meniscus , removal of free articular cartilage and radiofrequency ablation of losing bone , then injected sodium hyaluronate 2.5mL, once a week for 3-5 weeks.Patients were guided by quadriceps ex-ercises and ankle pumps practice .Drainage were taken out after 48 hours and stitched one week later .Re-sult:Patients were evaluated by Lysholm knee score ,excellent rate was 89.8%(86.9±11.2) at discharge, excellent rate was 80.5%(78.2±12.8) at 1-year follow-up.Conclusion:Arthroscopy with injection of sodi-um hyaluronate is a reliable method for the treatment of osteoarthritis of the knee .
