| 武文凯,徐棒棒,武 科.关节镜下清理术联合胫骨近端高位截骨术治疗老年膝关节炎疗效分析[J].中国烧伤创疡杂志,2024,(1):49~52. |
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| 中文关键词: 老年 膝关节炎 关节镜下清理 胫骨近端高位截骨 疼痛 膝关节功能 生活质量 |
| 英文关键词:Elderly Knee osteoarthritis Arthroscopic debridement High tibial osteotomy Pain Knee jointfunction Quality of life |
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| 中文摘要: |
| 【摘要】 目的 分析探讨关节镜下清理术联合胫骨近端高位截骨术治疗老年膝关节炎的临床疗效。方法 选取 2020 年 4 月至 2022 年 4 月开封市人民医院收治的 94 例老年膝关节炎患者作为研究对象, 按照不同治疗方法将其分为观察组 (47 例) 和对照组 (47 例), 观察组患者采用关节镜下清理术联合胫骨近端高位截骨术治疗,对照组患者单纯采用关节镜下清理术治疗, 对比观察两组患者住院时间、疼痛程度、膝关节功能及生活质量。结果 观察组患者住院时间明显长于对照组 ( t = 4.451, P< 0.001); 术后 6 个月, 观察组患者视觉模拟评分法(VAS) 评分明显低于对照组、Lysholm 评分明显高于对照组 ( t = 11.199、10.774, P 均<0.001); 术后6个月,观察组患者健康调查量表 36 (SF-36) 各维度评分均明显高于对照组 ( t = 3.330、3.527、3.350、3.682、3.633?3.514、3.473、3.410, P 均= 0.001)。结论 与单纯行关节镜下清理术相比, 关节镜下清理术联合胫骨近端高位截骨术虽会延长老年膝关节炎患者住院时间, 但却能明显减轻远期疼痛程度, 加速膝关节功能恢复, 提高患者生活质量, 临床应用价值较高。 |
| 英文摘要: |
| 【Abstract】 Objective To study the clinical efficacy of arthroscopic debridement combined with high tibial osteotomy for knee osteoarthritis treatment in elderly patients. Methods 94 elderly patients with knee osteoarthritis, admitted to Kaifeng People’s Hospital between April 2020 and April 2022, were enrolled as the research subjects, divided into study group (n = 47) and control group ( n = 47) based on the treatments they received. Patients in the study group underwent arthroscopic debridement combined with high tibial osteotomy, whereas patients in the control group received arthroscopic debridement alone. The length of stay, pain intensity, knee joint function, and quality of life of patients were compared between the two groups. Results In the study group the length of stay was markedly longer compared with the control group (t = 4.451, P < 0.001). Six months after surgery, patients got notably lower visual analogue scale ( VAS) scores and considerably higher Lysholm scores in the study group compared with the control group ( t = 11.199 and 10.774, both P<0.001), and all 36-item short form health survey (SF-36) measurements for patients in the study group were significantly higher than those in the control group ( t = 3.330, 3.527, 3.350, 3.682, 3.633, 3.514, 3.473 and 3.410, all P =0.001). Conclusion Compared with the alone application of arthroscopic debridement, the combined application of arthroscopic debridement and high tibial osteotomy, though may result in a longer length of stay for elderly patients with knee osteoarthritis, can significantly reduce patients’ long-term pain, accelerate the recovery of knee joint function, and enhances their quality of life. |
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