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应用关节镜清理和透明质酸钠注射治疗膝关节骨关节炎

Arthroscopic Debridements and Hyaluronic Acid for The Treatment of Osteoarthritis of the Knee

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【作者】 王昆蔡道章叶志强金文涛

【Author】 WANG Kun,CAI Dao-zhang,YE Zhi-qiang,et al.Department of Orthopaedics,the 3rd Affiliated Hospital,Sun Yat-sen University of Medical Science,Guangzhou Guangdong 510630

【机构】 中山医科大学第三附属医院骨科中山医科大学第三附属医院骨科 广州市510630广州市510630广州市510630

【摘要】 目的 :比较 2种治疗膝关节骨关节炎方法的效果。方法 :2组病人分别采用关节镜清理和透明质酸钠注射治疗膝关节骨关节炎。结果 :术后随访 2年以上 ,根据关节疼痛、积液肿胀、关节活动度、行走功能四个项目及综合评分。关节镜组随访结果 :半年~ 1年 ,优良率为 96 .2 % ,1~ 2年 ,优良率 84.6 % ,2年以上优良率为 73%。透明质酸钠组随访结果 :半年~ 1年 ,优良率为 94.9% ,1~ 2年 ,优良率 86 .4% ,2年以上优良率为 74.6 %。结论 :关节镜清理和透明质酸钠注射治疗膝关节骨关节炎 2种方法都有一定的效果 ,2组之间无明显差别。

【Abstract】 Objective:To compare the two methods for the treatment of osteoarthritis of the knee.Methods:Arthroscopic debridements and hyaluronic acid injection were used to treat osteoarthritis of the knee.Result:Patients were followed up for more than two years,according to pain,swelling,activity and walk function of the joint,comprehensive score was obtained.In arthroscope group,the excellent and good rate were 96.2% in half a year to one year,84.6% in one year to two years,73% above two years.In hyaluronic acid group,the excellent and good rate were 94.9% in half a year to one year,86.4% in one year to two years,74.6% above two years.Conclusion:Both arthroscopic debridements and hyaluronic acid injection were effective methods,The efficacy between two groups was not obviously different.

【关键词】 骨关节炎关节镜透明质酸钠
【Key words】 OsteoarthritisArthroscopeHyaluronic acid
  • 【文献出处】 中国矫形外科杂志 ,The Orthopedic Journal of China , 编辑部邮箱 ,2002年06期
  • 【分类号】R684.3
  • 【被引频次】13
  • 【下载频次】77
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