张泽
[摘要]意图 讨论膝关节镜医治症状性膝关节骨关节炎的临床作用。办法 选取2016年1月～2017年7月我院收治的80例症状性膝骨性骨性关节炎患者作为研讨目标，依照随机数字法分为两组（对照组与调查组），每组各40例。对照组患者施行玻璃酸钠打针液膝关节腔内打针，调查组患者在对照组基础上，施行膝关节镜下关节整理术，比较医治过程中患者的膝关节痛苦VAS评分，医治后患者膝关节ROM视点改动和膝关节Lysholm功用评分，计算两组患者的临床作用。成果 医治后1周和医治后4周，调查组患者的膝关节痛苦VAS评分低于对照组（P<0.05）；医治后调查组患者的膝关节ROM视点大于对照组（P<0.05），膝关节Lysholm功用得分高于对照组（P<0.05）；调查组患者的医治优良率为95.0%，显着高于对照组的75.0%，差异均有计算学含义（P<0.05）。定论 针对存在显着临床症状的膝关节骨性关节炎患者，以膝关节镜联合玻璃酸钠医治，可有用缓解患者痛苦，改进膝关节功用，进步临床医治作用。
[关键词]膝关节镜；膝关节骨关节炎；痛苦；膝关节功用
[中图分类号] R394.2 [文献标识码] A [文章编号] 1674-4721（2018）2（c）-0050-03
[Abstract]Objective To investigate the clinical efficacy of knee arthroscopy in the treatment of symptomatic knee osteoarthritis.Methods 80 cases with symptomatic knee osteoarthritis treated in our hospital from January 2016 to July 2017 were selected as the subjects，and divided into the two groups （control group and observation group） by random table method，40 cases in each group.The control group were treated with intraperitoneal injection of sodium hyaluronate injection in the knee joint.The observation group was treated with knee arthroplasty under the control group.The VAS score of the knee joint pain during the treatment were compared，the joint ROM angle changes，knee Lysholm functional score and the overall clinical treatment between the two groups were compared.Results The VAS score of knee joint pain in the observation group was lower than the control group at 1 week and 4 weeks after treatment（P<0.05）.The ROM angle in the observation group was higher than that in the control group （P<0.05）.The Lysholm function score in the observation group was higher than that in the control group （P<0.05）.The excellent rate of overall treatment in the observation group was 95.0%，which was significantly higher than 75.0% of the control group，the difference was statistically significant （P<0.05）.Conclusion Knee arthritis combined with sodium hyaluronate can effectively relieve pain in patients with knee joint，improve knee function，and improve the clinical effect in the treatment of osteoarthritis of knee joint with obvious clinical symptoms.
[Key words]Knee arthroscopy；Knee osteoarthritis；Pain；Knee joint function
膝骨性關节炎是临床最为常见的膝退行性关节疾病，好发于中晚年人群，尤以绝经后女人患者居多[1]，病理生理改动以关节软骨退行性改动为首要病因[2]。研讨显现，年纪为60岁以上的晚年女人，本病发生率在50%左右[3]，首要以存在前期的关节印象学改动为主，但大都患者无显着临床症状，改动以分子阶段为主，针对此类患者多未能引起满足的临床注重。现在关于本病的医治，主张膝关节腔内打针玻璃酸钠，弥补外源性的关节液进而推迟关节软骨的退行性改动，稀释关节腔内炎症介质的水平，改进关节软骨的光滑状况，到达改进关节腔内滑液的性质[4]，进步临床医治作用的意图。但单纯使用玻璃酸钠打针液关节腔内给药，虽可于短期内针对患者关节症状起到必定的改进作用，但医治时间长、费用高，一起重复膝关节腔有创穿刺[5]，还有可能导致膝关节腔感染，存在必定的医疗危险[6]。现在临床急需一种有用的医治办法，用于进步膝关节骨性关节炎患者的临床医治作用，削减并发症。关节镜近年来用于医治膝关节相关疾病的作用非常显着，具有微创、作用牢靠等长处，本研讨旨在讨论膝关节镜医治症状性膝关节骨关节炎的临床作用，现报导如下。
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