CAJ | 학술논문

目的：比较全膝关节置换术(TKA)中髌周神经部分去极化及全部去极化的临床效果。方法 TKA患者66例(80膝)分为髌周神经部分去极化组(A组，42膝)和全部去极化组(B组，38膝)。术前及术后3个月、半年分别进行膝关节评分、髌骨评分、膝前疼痛评分。结果两组术前膝关节评分、髌骨评分、膝前疼痛评分均无显著性差异(P>0.05)；术后所有评分均改善(P<0.05)；但两组间仍无显著性差异(P>0.05)。结论髌骨周围神经部分去极化技术可减少术后膝前痛等，其效果与全部去极化技术相当。
목적：비교전슬관절치환술(TKA)중빈주신경부분거겁화급전부거겁화적림상효과。방법 TKA환자66례(80슬)분위빈주신경부분거겁화조(A조，42슬)화전부거겁화조(B조，38슬)。술전급술후3개월、반년분별진행슬관절평분、빈골평분、슬전동통평분。결과량조술전슬관절평분、빈골평분、슬전동통평분균무현저성차이(P>0.05)；술후소유평분균개선(P<0.05)；단량조간잉무현저성차이(P>0.05)。결론빈골주위신경부분거겁화기술가감소술후슬전통등，기효과여전부거겁화기술상당。
Objective To compare the effects of peripatellar peripheral nerve partially and totally depolarized in total knee arthroplasty (TKA). Methods 66 TKA patients were divided into partially depolarized group (A, 42 knees) and totally depolarized group (B, 38 knees). The scores of knee-joint, Feller and Visual Analogue Scale were recorded. Results There was no significant difference in all the scores be-tween 2 groups before operation (P>0.05). All the scores improved after operation (P<0.05), however, there was still no significant differ-ence between 2 groups (P>0.05). Conclusion Patellar peripheral nerve partially depolarization technique can reduce postoperative knee pain, which has the same effect with totally depolarization.