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关节镜微创清理术治疗膝关节骨性关节炎
引用本文:张银网,苑建新,汤杰,郁国强.关节镜微创清理术治疗膝关节骨性关节炎[J].中国内镜杂志,2006,12(2):141-142.
作者姓名:张银网  苑建新  汤杰  郁国强
作者单位:上海市徐汇区中心医院,上海,200031
摘    要:目的探讨关节镜清理术治疗骨性关节炎的疗效与相关因素。方法对36例膝关节骨性关节炎患者,采用选择性、有限化关节镜清理术。手术包括刨削清理增生肥厚的炎性滑膜组织,修平退变剥脱的软骨创面,切除和修整破损的半月板,取出游离体,髁间窝成型解除撞击和ACL磨损。结果34膝得到6~25个月的随访,平均11个月,按膝关节综合评分表进行评分,优23.5%,良55.9%,可17.7%,差2.9%,优良率79.4%。结论关节镜下选择性、有限化微创清理术治疗骨性关节炎,可有效解除临床症状,改善功能,延缓病程,提高生活质量。

关 键 词:骨关节炎  关节镜  膝关节
文章编号:1007-1989(2006)02-0141-02
修稿时间:2005年10月23

Minimum invasive debridement for the osteoarthritic knees under arthroscopy
ZHANG Yin-wang,YUAN Jian-xin,TANG Jie,YU Guo-qiang.Minimum invasive debridement for the osteoarthritic knees under arthroscopy[J].China Journal of Endoscopy,2006,12(2):141-142.
Authors:ZHANG Yin-wang  YUAN Jian-xin  TANG Jie  YU Guo-qiang
Abstract:Objective] To study the therapeutic efficacy and related factor of the debridement for osteoarthritic knees under arthroscopy in the patients. Methods] A total 36 knees were debrided under arthroscopy. The procedures included removal of osteophyma, loose body hyperplastic synovial membrane, and raw surface of degenerated cartilage, repairing the worn meniscus, and reshaping of the intercondylar fossa. Results] 34 patients were followed up for 11 months in average. After selective debridement and lavage of knee joint osteoarthritis, the pain was relieved and the function and the motion of the joint were restored in most patients. According to the comprehensive knee joint rating system, clinical outcomes of 34 knees were excellent in 23.5%, good in55.9%, fair in 17.7%, poor in2.9%. Conclusions] Selective and limited debridement and lavage were effective methods for osteoarthritic knees and delayed the pathological process, and improve the knee function.
Keywords:osteoarthritis  arthroscopy  knee joint
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