关节镜下选择性清理术治疗中老年膝关节骨性关节炎

目的：探讨膝关节骨性关节炎（OA）患者关节镜下选择性清理术的疗效。方法：关节镜下选择性清理包括刨削增生肥厚的滑膜组织，清理关节软骨剥脱区创面和软骨碎片，切除破裂的半月板，取出游离体和磨削骨性阻挡。结果：关节镜下选择性、有限化的关节清理术创伤轻，痛苦小，并发症少而轻，关节功能恢复快，术后优良率达81．8％。结论：关节镜下选择性清理术治疗中老年膝关节性关节炎可有效地缓解症状，改善功能，提高患者生活质量，延缓病程的发展。

Selective Debridement Under Arthroscope in Treatment of Patients with Osteoarthritis of Knee Joint

Objective： Discussion the effect of selective debridement under arthroscope in patients with the osteoarthritis of knee joint. Methods：Planning hypertrophic synovium, cleaning exfoliative articular cartilage fragments, implement plasty of ruptured meniscus, tak- ing out the free body and grind the bone blocks. Results： There was no complication such as infections after surgery, the patients get rehabilitation of joint function smoothly. The excellent and goods rate was 81.8%. Conclusion：Selective debridement under arthroscope can effectively alleviate the symptoms of osteoarthritis of the knee, improve the joint function, improve patients＇ quality of life, and delay the development of the course.