| 孙克宁.关节镜清理配合腔内注射玻璃酸钠治疗膝关节骨性关节炎疗效观察[J].济宁医学院学报,2015,(6):403-405 |
| 关节镜清理配合腔内注射玻璃酸钠治疗膝关节骨性关节炎疗效观察 |
| Observation of therapeutic effect of arthroscopic debridement combined with intra-articular injection of sodium hyaluronate in the treatment of knee osteoarthritis |
| 投稿时间：2015-10-27 |
| DOI：10.3969/j.issn.1000-9760.2015.06.006 |
| 中文关键词: 关节镜清理|玻璃酸钠注射|膝关节|骨性关节炎 |
| 英文关键词: Arthroscopic debridement|Sodium hyaluronate injection|Knee joint|Osteoarthritis |
| 基金项目: |
| 作者 | 单位 | | 孙克宁 | 宁夏医科大学总医院, 宁夏银川 750004 |
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| 中文摘要: |
| 目的 探讨关节镜下清理术联合关节腔内注射玻璃酸钠治疗膝骨关节炎的临床疗效和安全性。方法 选取2014年1月至2015年3月于我院就诊的膝骨性关节炎患者70例,随机分为观察组、对照组,各35例。对照组患者单纯行关节镜清理术,观察组患者在关节镜清理术基础上,配合玻璃酸钠注射治疗。以5周为一个疗程。患者出院后进行3~6个月的随访,记录患者术后恢复情况,根据Lysholm膝关节评分判断患者的治疗效果,比较两组评分及疗效。结果 通过随访获得结果可见,所有患者关节镜术切口均甲级愈合,且无感染等并发症发生。观察组患者评分明显高于对照组,且优27例,良6例,可2例,优良率为94.3%,明显优于对照组(P<0.05)。结论 采用关节镜下清理术联合关节腔内注射玻璃酸钠治疗膝骨关节炎,能改善膝关节疼痛症状,有利于膝关节功能的恢复,并发症少,值得临床推广应用。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy and safety of arthroscopic debridement combined with intra-articular injection of sodium hyaluronate in the treatment of knee osteoarthritis.Methods From January 2014 to March 2015,70 patients with knee osteoarthritis were randomly divided into observation group and control group,35 cases in each group.The control group was treated with arthroscopic debridement,and the observation group was treated with sodium hyaluronate injection on the basis of arthroscopic debridement.It took 5 weeks as a course of treatment.The patients were followed up for 3-6 months after the operation,and the recovery of the patients was recorded,and the treatment effect was compared between the two groups.Results The results showed that all the patients had grade a healing and no infection and other complications occurred.In the observation group,27 cases were excellent,6 cases good,2 cases,the excellent and good rate was 94.3%,which was significantly better than the control group (P<0.05).Conclusion Arthroscopic debridement combined with intra-articular injection of sodium hyaluronate in the treatment of knee osteoarthritis can improve the knee joint pain symptoms,be conducive to the recovery of knee joint function with fewer complications which is worthy of clinical application. |
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