世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
19期
8-9
,共2页
骨关节炎%关节边缘骨赘形成%松解术%小针刀
骨關節炎%關節邊緣骨贅形成%鬆解術%小針刀
골관절염%관절변연골췌형성%송해술%소침도
Osteoarthritis%Joint marginal osteophyte formation Release operation%Small needle knife
目的：总结小针刀疗法对膝关节骨关节炎患者功能康复中的临床疗效。方法选择自2013.05至2014.10经其他科保守治疗或外科手术治疗后功能恢复不佳应用小针刀对46例骨关节炎的治疗，并对术后并发症及关节功能恢复进行随访。结果46例患者均获随访，时间1~12个月，疼痛明显缓解，功能恢复快、疗效满意。影像学复查提示关节间隙不同程度变宽、畸形明显改变、关节运动功能明显改善等变化，最后一次随访患者临床治愈：30例、占65.2%；显效：11例、占23.9%；有效：3例、占6.5%；无效：2例、占4.3%；总有效率95.65%。平均费用2000元左右。结论小针刀对膝关节定点韧带粘连疏通、松解、关节囊切割、疤痕剥离疗法对骨关节炎功能恢复提供临床依据，在有效降低医疗费用的同时提高了临床疗效和功能恢复比率，是治疗骨关节炎尤其是治疗农村边远地区本病的有效方法。
目的：總結小針刀療法對膝關節骨關節炎患者功能康複中的臨床療效。方法選擇自2013.05至2014.10經其他科保守治療或外科手術治療後功能恢複不佳應用小針刀對46例骨關節炎的治療，併對術後併髮癥及關節功能恢複進行隨訪。結果46例患者均穫隨訪，時間1~12箇月，疼痛明顯緩解，功能恢複快、療效滿意。影像學複查提示關節間隙不同程度變寬、畸形明顯改變、關節運動功能明顯改善等變化，最後一次隨訪患者臨床治愈：30例、佔65.2%；顯效：11例、佔23.9%；有效：3例、佔6.5%；無效：2例、佔4.3%；總有效率95.65%。平均費用2000元左右。結論小針刀對膝關節定點韌帶粘連疏通、鬆解、關節囊切割、疤痕剝離療法對骨關節炎功能恢複提供臨床依據，在有效降低醫療費用的同時提高瞭臨床療效和功能恢複比率，是治療骨關節炎尤其是治療農村邊遠地區本病的有效方法。
목적：총결소침도요법대슬관절골관절염환자공능강복중적림상료효。방법선택자2013.05지2014.10경기타과보수치료혹외과수술치료후공능회복불가응용소침도대46례골관절염적치료，병대술후병발증급관절공능회복진행수방。결과46례환자균획수방，시간1~12개월，동통명현완해，공능회복쾌、료효만의。영상학복사제시관절간극불동정도변관、기형명현개변、관절운동공능명현개선등변화，최후일차수방환자림상치유：30례、점65.2%；현효：11례、점23.9%；유효：3례、점6.5%；무효：2례、점4.3%；총유효솔95.65%。평균비용2000원좌우。결론소침도대슬관절정점인대점련소통、송해、관절낭절할、파흔박리요법대골관절염공능회복제공림상의거，재유효강저의료비용적동시제고료림상료효화공능회복비솔，시치료골관절염우기시치료농촌변원지구본병적유효방법。
Objective:To summarize the efifcacy of small needle-knife therapy in function rehabilitation of patients with knee osteoarthritis. Methods:46 patients whose function rehabilitation was disappointing after the conservative treatment or the surgery from other departments with their knee osteoarthritis were treated with small needle-knife therapy in our hospital from May, 2013 to October, 2014. Then the complications and the rehabilitation of them were observed. Results:46 patients have been followed up. During the following 12 months, their pain was obviously relieved and their functions recovered very fast. The curative effect is satisfying. Imaging review suggests joint gap was widened and the deformity has obvious different levels of changes. The last follow-up of patients with clinical cure shows 30 patients were cured, accounting for 65.2%;11 patients were remarkably effective (23.9%); 3 patients show its effectiveness (6.5%); 2 cases were invalid 4.3%. The total effective rate was 95.65%. It costs an average of 2000 Yuan. Conclusion:Small needle-knife therapy can provide clinical reference for fixed-point ligament of knee joint conglutination dredge, loose solution, joint capsule incision and scar stripping therapy. It effectively reduces the medical cost and improves the clinical curative effect. Thus it is an effective therapy for patients with knee osteoarthritis, especially for patients in remote rural areas t.
