CAJ | 학술논문

目的：：探讨射频技术辅助关节镜有限清理术对膝骨性关节炎的治疗效果。方法：将48例膝骨性关节炎患者随机分为射频组24例经关节镜采用射频技术治疗；常规组24例经关节镜采用常规的手术器械和电动刨削器治疗。比较2组患者术前、术后1年Lysholm评分和术后2周内关节积液量。结果：2组术前Lysholm评分差异无统计学意义(P>0.05)。2组患者术后Lysholm评分均较术前明显提高(P<0.01)，而且2组患者术后1年Lysholm评分差异有统计学意义(P<0.01)；射频组术后2周内膝关节积液量明显少于常规组(P<0.01)。结论：射频技术辅助膝关节镜有限清理术治疗膝骨性关节炎有助于提高疗效，值得推荐。
목적：：탐토사빈기술보조관절경유한청리술대슬골성관절염적치료효과。방법：장48례슬골성관절염환자수궤분위사빈조24례경관절경채용사빈기술치료；상규조24례경관절경채용상규적수술기계화전동포삭기치료。비교2조환자술전、술후1년Lysholm평분화술후2주내관절적액량。결과：2조술전Lysholm평분차이무통계학의의(P>0.05)。2조환자술후Lysholm평분균교술전명현제고(P<0.01)，이차2조환자술후1년Lysholm평분차이유통계학의의(P<0.01)；사빈조술후2주내슬관절적액량명현소우상규조(P<0.01)。결론：사빈기술보조슬관절경유한청리술치료슬골성관절염유조우제고료효，치득추천。
Objective:To explore the effects of arthroscopic debridement combined with radio frequency energy in the treatment of knee osteoarthritis. Methods:Forty-eight patients with knee osteoarthritis were randomly divided into the radio frequency group and traditional apparatus group(24 cases each group),which were treated with arthroscope combined with radio frequency and arthroscopic traditional apparatus,respectively. The preoperative and postoperative 1-year Lysholm score and joint effusion quantity at 2 weeks after operation between two groups were compared. Results:The difference of preoperative Lysholm score in two groups was not statistically significant(P>0. 05). The postoperative Lysholm scores in two groups were significantly higher than that in preoperation(P<0. 01). The difference of postperative 1-year Lysholm score in two groups was statistically significant(P<0. 01). The joint effusion quantity at 2 weeks after operation in radio frequency group was less than in that in traditional apparatus group(P<0. 01). Conclusions:The radio frequency energy can effectively improve the outcome of the arthroscopic debridement in the treatment of knee osteoarthritis,which is worth to recommend.