CAJ | 학술논문

【目的】探讨关节镜下关节清理治疗膝关节骨性关节炎的疗效。【方法】收集98例诊断为膝关节骨性关节炎的住院患者共126膝，根据治疗方法分为两组，保守治疗62膝，其中早中期组40膝、晚期组22膝；手术治疗64膝，其中早中期组46膝、晚期组18膝。比较关节清理和保守治疗早中晚期膝关节骨性关节炎的疗效。【结果】本组中135膝，其中126膝者获得随访，随访率93．3％，随访时间为6～12个月。随访98例患者均采用Lysholm膝关节功能评分表进行随访，其中保守治疗早中期组患者与手术治疗均能取得较好疗效，但两组评分无统计学意义；晚期组患者保守治疗效果不佳，尤其在随访12个月时效果显著下降，与手术治疗患者评分有统计学差异；早中期组、晚期组手术治疗患者疗效均满意，但评分前者高于后者。【结论】关节镜下关节清理治疗不同分期膝关节骨性关节炎能达到满意效果，早中期组患者疗效更优。
【목적】탐토관절경하관절청리치료슬관절골성관절염적료효。【방법】수집98례진단위슬관절골성관절염적주원환자공126슬，근거치료방법분위량조，보수치료62슬，기중조중기조40슬、만기조22슬；수술치료64슬，기중조중기조46슬、만기조18슬。비교관절청리화보수치료조중만기슬관절골성관절염적료효。【결과】본조중135슬，기중126슬자획득수방，수방솔93．3％，수방시간위6～12개월。수방98례환자균채용Lysholm슬관절공능평분표진행수방，기중보수치료조중기조환자여수술치료균능취득교호료효，단량조평분무통계학의의；만기조환자보수치료효과불가，우기재수방12개월시효과현저하강，여수술치료환자평분유통계학차이；조중기조、만기조수술치료환자료효균만의，단평분전자고우후자。【결론】관절경하관절청리치료불동분기슬관절골성관절염능체도만의효과，조중기조환자료효경우。
[Objective]To explore the efficacy of arthroscopic joint debridement for the treatment of knee osteoar-thritis.[Methods]A total of 1 3 5 knees of inpatients diagnosed as knee osteoarthritis were collected.According the treat-ment methods,all patients were divided into two groups.The conservative treatment group(62 knees)included early and middle stage group(40 knees)and advanced stage group(22 knees).The surgical treatment group(64 knees)included ear-ly and middle stage group(46 knees)and advanced stage group(18 knees).The efficacy was compared between joint de-bridement and conservation therapy for the treatment of early,middle and advance stage knee osteoarthritis.[Results]Of 1 3 5 knees,1 2 6 knees were followed up,and the follow-up rate was 9 3 .3%,and the follow-up time was 6~1 2 months. All 98 patients with the follow-up were followed up by using Lysholm knee joint function assessment table.The patients in early and middle stage group receiving conservation treatment and the patients in surgical treatment group could obtain satisfactory efficacy,but there was no significant difference in the scores between two groups(P>0.05).The efficacy of conservative treatment of patients in advanced stage group was poor,and the efficacy was markedly decreased especially at 1 2 months of follow up.There was significant difference in the scores between patients in advanced stage group receiving conservation treatment and patients undergoing operation(P<0.05).The efficacy of surgical treatment in early and mid-dle stage group and advanced stage group was good,but the scores of the former were higher than those of the latter.[Conclusion]Arthroscopic joint debridement for the treatment of knee osteoarthritis can achieve satisfactory efficacy.The efficacy of patients in early and middle stage group is better.