中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
6期
191-193
,共3页
全膝关节置换术%髌骨置换%髌骨评分
全膝關節置換術%髕骨置換%髕骨評分
전슬관절치환술%빈골치환%빈골평분
Total knee arthroplasty%Resurfacing%Patella score
目的：探讨全膝关节置换术中髌骨置换的临床效果。方法选择2008年1月～2013年1月期间在我院骨科及广州珠江医院骨科行全膝关节置换术（TKA）的膝关节骨性关节炎（OA）78例患者，并按照数字表法随机分为两组，观察组39例实施髌骨置换的治疗；对照组39例则不进行髌骨置换，并比较两组的临床效果。结果观察组术后2、3个月的KSS临床评分与对照组比较差异均无统计学意义（P＞0.05）；而术后6、12个月KSS临床评分与对照组比较差异有统计学意义（P＜0.05），观察组术后2、3、6个月的Feller髌骨评分与对照组比较（P＞0.05）；而术后12个月Feller髌骨评分与对照组比较差异有统计学意义（P＜0.05）。结论人工全膝关节置换术中行髌骨置换能减轻疼痛且降低术后膝前痛的发生率，能够改善膝关节功能评分和髌骨评分，增加患者的满意度，疗效确切。
目的：探討全膝關節置換術中髕骨置換的臨床效果。方法選擇2008年1月～2013年1月期間在我院骨科及廣州珠江醫院骨科行全膝關節置換術（TKA）的膝關節骨性關節炎（OA）78例患者，併按照數字錶法隨機分為兩組，觀察組39例實施髕骨置換的治療；對照組39例則不進行髕骨置換，併比較兩組的臨床效果。結果觀察組術後2、3箇月的KSS臨床評分與對照組比較差異均無統計學意義（P＞0.05）；而術後6、12箇月KSS臨床評分與對照組比較差異有統計學意義（P＜0.05），觀察組術後2、3、6箇月的Feller髕骨評分與對照組比較（P＞0.05）；而術後12箇月Feller髕骨評分與對照組比較差異有統計學意義（P＜0.05）。結論人工全膝關節置換術中行髕骨置換能減輕疼痛且降低術後膝前痛的髮生率，能夠改善膝關節功能評分和髕骨評分，增加患者的滿意度，療效確切。
목적：탐토전슬관절치환술중빈골치환적림상효과。방법선택2008년1월～2013년1월기간재아원골과급엄주주강의원골과행전슬관절치환술（TKA）적슬관절골성관절염（OA）78례환자，병안조수자표법수궤분위량조，관찰조39례실시빈골치환적치료；대조조39례칙불진행빈골치환，병비교량조적림상효과。결과관찰조술후2、3개월적KSS림상평분여대조조비교차이균무통계학의의（P＞0.05）；이술후6、12개월KSS림상평분여대조조비교차이유통계학의의（P＜0.05），관찰조술후2、3、6개월적Feller빈골평분여대조조비교（P＞0.05）；이술후12개월Feller빈골평분여대조조비교차이유통계학의의（P＜0.05）。결론인공전슬관절치환술중행빈골치환능감경동통차강저술후슬전통적발생솔，능구개선슬관절공능평분화빈골평분，증가환자적만의도，료효학절。
Objective To investigate the clinical effect of patellar replacement in total knee arthroplasty. Methods 78 patients with knee osteoarthritis (OA) treated in department of orthopedics of our hospital and Guangzhou Zhujiang Hospital from January 2008 to January 2013 who received total knee arthroplasty (TKA) were selected, and randomly divided into two groups in accordance with the number table, 39 cases in the observation group implemented the treatment of patella replacement; 39 cases in the control group didn't receive patellar replacement. Results The difference of KSS clinical score postoperative 2,3 months between the observation group and the control group were not significantly different (P > 0.05); while KSS clinical score postoperative 6,12 months in the observation group was compared with the control group , the difference was significant (P<0.05) , postoperative 2,3,6 months Fel-ler patella score in the observation group was compared with the control group (P> 0.05); and postoperative 12 months Feller patellar score was compared with the control group, the difference was significant (P < 0.05). Conclusion Total knee arthroplasty intraoperative patellar replacement can relieve paln and reduce the incidence of postoperative anterior knee paln, can improve knee function score and patella score. To increase satisfaction of patient, curative effect.
