【摘要】 目的　比较三种方法治疗膝关节骨性关节炎的效果。　方法　三组患者分别采用关节镜清理、玻璃酸钠注射及二者联合治疗。　结果　根据关节痛、关节积液、关节活动程度及行走功能综合评分。随访 2年以上 ,关节镜组 :0 5～ 1年优良率 86 7% ,1～ 2年优良率 76 3% ,2年以上优良率 6 6 %。玻璃酸钠组 :0 5～ 1年优良率 80 6 % ,1～ 2年优良率 72 8% ,2年以上优良率 5 6 2 %。联合组 :0 5～ 1年优良率 96 8% ,1～ 2年优良率 87 2 % ,2年以上优良率 78 2 %。　结论　三种方法均有疗效 ,关节镜清理并玻璃酸钠注射疗效最好 ,关节镜清理次之 ,玻璃酸钠注射较差。更多还原

【Abstract】 Objective To compare the clinical effects of three methods in the treatment of osteoarthritis of the knee. Methods Three groups of patients received arthroscopic debridement, sodium hyaluronate injection and combined use of these two methods, respectively. Results All the patients were followed for more than 2 years. According to degrees of joint pain, joint swelling , range of motion and patients’ walking functions, comprehensive scores were obtained. In arthroscopic group, it gave good or excellent results in 86 7% of the patients 6 months ～ 1 year, in 78 8% of the patients 1 year ～ 2 years and 66 2% of the patients after 2 years. In sodium hyaluronate group, the good or excellent rates were 80 6% 6 months ～ 1 year, 72 8% 1 year ～ 2 years and 56 2 % after 2 years, respectively. In combination therapy group, the good or excellent rates were 96 8 % 6 months ～ 1 year, 87 2% 1 year ～ 2 years and 78 1% after 2 years, respectively. Conclusions All the three methods are effective: the combination treatment of arthroscopic debridement and sodium hyaluronate injection is markedly effective, the arthroscopic debridement takes the second place, and the sodium hyaluronate injection is less effective.更多还原