摘要
目的 :比较三种方法治疗膝关节骨关节炎的疗效。方法 :对 1174例 (192膝 )膝关节骨关节炎 (OA)患者随机分组进行膝关节镜下清理术 (A组 )、膝关节镜下清理术 +术后透明质酸钠 (其胜 )膝关节内注射 (B组 )以及单独应用透明质酸钠膝关节内注射 (C组 )三种方法治疗。术后随访 1～ 4年 ,采用相关标准记分以确定各组疗效并进行比较。结果 :A、B两组近期疗效无显著差别 (α <0 .0 5 ) ,但都优于C组。远期疗效以B组最佳 ,优于其他两组 (α<0 .0 5 )。结论
Objective:To compare curative effects of three methods on osteoarthritis (OA) of the knee.Methods:Arthroscopic debridement(group A),arthroscopic debridement+injection of sodium hyalurate(SH) into articular cavity after surgery (group B)and single injection of SH into articular cavity (group C) were performed randomly on 192 kneses in 174 patients with osteoarthritis of the knee between Feb 1992 and Jan 1999.All the patients were followed up for 1-4years.We used scoring method to compare curative effect of three groups.Results:The difference of curative effect in the near future between group A and group B were not significant,but the curative effect of both group A and group B were better than group C(P<0.05).The curative effects of group B in long-term was the best (P<0.05).Conclusions:Combination of arthroscopic debridement and injection of SH into articular cavity of the knee is an effective method for the treatment of OA of the knee.
出处
《中国内镜杂志》
CSCD
2001年第3期14-15,共2页
China Journal of Endoscopy
关键词
膝骨关节炎
关节镜
透明质酸钠
治疗
Knee Osteoarthritis
Arthroscopy
Sodium Hyalurate
Treatment
