CAJ | 학술논문

目的：探讨膝关节骨关节炎( osteoarthritis，OA )并发半月板损伤的临床特点以及应用关节镜下关节清理术治疗的效果。方法对诊断为骨关节炎近期并发半月板损伤的患者85例(85膝)行关节镜下关节清理术，术后12个月门诊随访。比较术前和术后的 Tegner 评分、Lysholm 评分，记录患者满意度。结果 Tegner 评分：术前平均2.2±0.8，术后12个月平均5.2±1.6；P＜0.001。Lysholm 评分：术前平均35.2±16.6，术后12个月平均82.4±12.8，P＜0.001。83例患者对手术的效果满意。结论对 OA 并发半月板损伤的患者行关节镜下关节清理术，可有效的缓解症状。
목적：탐토슬관절골관절염( osteoarthritis，OA )병발반월판손상적림상특점이급응용관절경하관절청리술치료적효과。방법대진단위골관절염근기병발반월판손상적환자85례(85슬)행관절경하관절청리술，술후12개월문진수방。비교술전화술후적 Tegner 평분、Lysholm 평분，기록환자만의도。결과 Tegner 평분：술전평균2.2±0.8，술후12개월평균5.2±1.6；P＜0.001。Lysholm 평분：술전평균35.2±16.6，술후12개월평균82.4±12.8，P＜0.001。83례환자대수술적효과만의。결론대 OA 병발반월판손상적환자행관절경하관절청리술，가유효적완해증상。
Objective To investigate the clinical features of knee osteoarthritis ( OA ) accompanied by meniscus injuries and the curative results of arthroscopic debridement.Methods Arthroscopic debridement was performed on 85 patients ( 85 knee joints ) with OA accompanied by meniscus injuries, who were followed up in the outpatient clinic at 12 months after the operation. The preoperative and postoperative Tegner and Lysholm scores were compared, and the patients’ satisfactory degree was investigated.Results The mean Tegner scores were 2.2±0.8 before the operation and 5.2±1.6 at 12 months after the operation (P<0.001 ). The mean Lysholm scores were 35.2±16.6 before the operation and 82.4±12.8 at 12 months after the operation (P<0.001 ). Eighty-three patients were satisifed with the results of surgery.Conclusions Arthroscopic debridement can effectivley ameliorate the symptoms of the patients with OA accompanied by meniscus injuries.