CAJ | 학술논문

目的：比较关节镜下广泛清理术与有限清理术治疗不同病变程度膝关节骨性关节炎的临床疗效。方法选择32例行关节镜下广泛清理术治疗的膝关节骨性关节炎患者为观察组，选择30例行关节镜下有限清理术患者为对照组，比较2组患者关节功能优良率、Lysholm评分及视觉模拟评分(VAS)的差别。结果随访1年，观察组与对照组关节功能优良率分别为90.0%和91.4%，差别无统计学意义(P>0.05)；观察组Ⅱ级骨性关节炎患者Lysholm评分显著高于对照组(P<0.05)；2组Ⅰ级和Ⅲ级骨性关节炎患者Lysholm评分未见显著差别(P>0.05)；2组治疗后1年VAS评分差别无统计学意义(P>0.05)。结论关节镜下广泛清理术与有限清理术治疗膝关节骨性关节炎临床疗效相当，但前者对于Ⅱ级病变患者疗效更为理想。
목적：비교관절경하엄범청리술여유한청리술치료불동병변정도슬관절골성관절염적림상료효。방법선택32례행관절경하엄범청리술치료적슬관절골성관절염환자위관찰조，선택30례행관절경하유한청리술환자위대조조，비교2조환자관절공능우량솔、Lysholm평분급시각모의평분(VAS)적차별。결과수방1년，관찰조여대조조관절공능우량솔분별위90.0%화91.4%，차별무통계학의의(P>0.05)；관찰조Ⅱ급골성관절염환자Lysholm평분현저고우대조조(P<0.05)；2조Ⅰ급화Ⅲ급골성관절염환자Lysholm평분미견현저차별(P>0.05)；2조치료후1년VAS평분차별무통계학의의(P>0.05)。결론관절경하엄범청리술여유한청리술치료슬관절골성관절염림상료효상당，단전자대우Ⅱ급병변환자료효경위이상。
Objective To compare the clinical effects of extensive or limited arthroscopic debridement in varying degrees of knees osteo-arthritis. Methods 32 cases with knees osteoarthritis who underwent extensive debridement under arthroscopy were selected as the observa-tion group, and 30 cases with knees osteoarthritis who underwent limited debridement were selected as the control group. The excellent rate of joint function, Lysholm and VAS scores were compared between the two groups. Results The excellent rate of joint function were 90. 0%and 91. 4% in observation group and control group respectively, without significant difference (P>0. 05). Lysholm scores of patients with grade Ⅱ osteoarthritis was much higher in observation group than that in control group after operation (P<0. 05). There was no significant difference in Lysholm scores between gradeⅠand gradeⅢosteoarthritis (P>0. 05). No statistically significant difference of VAS scores on 1 year after operation were found (P>0. 05). Conclusion Extensive debridement and limited debridement under arthroscopy have similar effects for knees osteoarthritis. Extensive arthroscopic debridement is an ideal treatment method for Ⅱ grade of knees osteoarthritis.