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滑膜刨削对关节镜清理术治疗老年骨性膝关节炎疗效的影响
引用本文:张弛,叶斌,谢伟,张海林,黄朝晖,洪方业.滑膜刨削对关节镜清理术治疗老年骨性膝关节炎疗效的影响[J].蚌埠医学院学报,2012,37(7):793-794.
作者姓名:张弛  叶斌  谢伟  张海林  黄朝晖  洪方业
作者单位:上海市杨浦区老年医院,骨科,200090;上海市杨浦区老年医院,骨科,200090;上海市杨浦区老年医院,骨科,200090;上海市杨浦区老年医院,骨科,200090;上海市杨浦区老年医院,骨科,200090;上海市杨浦区老年医院,骨科,200090
摘    要:目的:探讨滑膜刨削对关节镜清理术治疗老年骨性膝关节炎疗效的影响.方法:将112例膝关节骨关节炎患者分为2组,A组在关节镜清理术中将增生的滑膜尽量刨削,B组在术中不行滑膜刨削或仅刨削阻挡关节镜视野的少量滑膜.结果:112例均得到随访,根据HSS膝关节功能评分表予以评定,术后1个月与6个月2组评分差异均无统计学意义(P>0.05).结论:滑膜刨削对关节镜清理术治疗老年性膝骨关节炎的近期及远期疗效无积极影响,应尽量减少滑膜刨削的范围.

关 键 词:骨关节炎    关节镜清理术  滑膜刨削术

The effects of synovectomy on treating knee join osteoarthritis with debridement
ZHANG Chi , YE Bin , XIE Wei , ZHANG Hai-lin , HUANG Zhao-hui , HONG Fang-ye.The effects of synovectomy on treating knee join osteoarthritis with debridement[J].Journal of Bengbu Medical College,2012,37(7):793-794.
Authors:ZHANG Chi  YE Bin  XIE Wei  ZHANG Hai-lin  HUANG Zhao-hui  HONG Fang-ye
Institution:(Department of Orthopedics,Shanghai Yangpu Geriatric Hospital,Shanghai 200090,China)
Abstract:Objective:To observe the effects of synovectomy on treating knee join osteoarthritis with debridement.Methods:One hundred and twelve patients with elderly degenerative osteoarthritis of knee were randomly divided into group A,which were treated with synovectomy under arthroscopy debridement as far as possible and group B were treated with synovectomy as few as possible.Results:All cases were followed up and evaluated by HSS knee score table.At 1 month and 6 months after operation,the HSS scores of two groups had no significant difference(P>0.05).Conclusions:Synovectomy has good effects on the elderly knee join osteoarthritis treatment with debridement arthroscopy.The scope of the synovectomy should be reduced.
Keywords:osteoarthritis  knee  debridement arthroscopy  synovectomy
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