文档介绍：人工全膝关节置换术治疗膝关节骨关节炎的疗效分析
[摘要] 目的研究人工全膝关节置换术(TKA)治疗52例膝关节骨性关节炎的疗效。方法方便选取2013年1月―2015年6月该院收治的52例(52膝)膝关节骨性关节炎行TKA。采用HSS评分标准对手术前后膝关节功能进行评估,采用VAS评分评估手术前后的疼痛程度。结果该组平均随访24个月(12~30个月)。膝关节疼痛得到改善,活动度也明显提高。应用HSS膝关节评分系统进行分析,优:36膝,良:12膝,可:4膝,没有差的结果。%。结论人工全膝关节置换术治疗膝关节骨关节炎具有显著的疗效,值得临床推广。
[关键词] 全膝关节置换术;膝骨性关节炎;疗效
[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742(2016)12(b)-0022-03
Analysis of Aurative Effect of Total Knee Arthroplasty in the Treatment of Knee Osteoarthritis
LU Xiao-bing,YU Zhong-jie
Changzhou City, Jiangsu Province Second People's Hospital Orthopedic, Changzhou, Jiangsu Province, 213000 China
[Abstract] Objective To observe the curative effect of TKA on 52 knee jointosteoarthritis. Methods Convenient selection 52 patients with knee osteoarthritis of 52 knees between January 2013 and June 2015, underwent total knee arthroplasty. The knee function before and afteroperation was assessed by HSS scoring criteria, and the pain degree was evaluated by VAS score. Results All the patients were followed up, with a mean of 12 months (12~30 months). Knee pain was significantly reduced or disappeared, activity of knee was obviously improved. According to HSS score, 36 knees had an excellent results; 12 knees a good result; 4 knees a fair result; and no poor result. The excellent and good rate was %. Conclusion For osteoarthritis of the knee, total kneearthroplasty has a significant curative effect, it is worthy of clinical promotion.
[Key words] Total knee arthroplasty; Knee osteoarthritis; Curative effect
在?多治疗膝关节骨性关节炎的疗法中,膝关节置换术是效果显著也是在临床医学中应用十分广泛的治疗方法,在大量的临床实践中取得了良好的应用效果。但是采用该种疗法对手术过程要求较高,如果在手术中的某一环节操作不当将会导致严重的后果,如引发严重的并发症,或是直接导致手术失败[1-2]。随着操作技术不断改进和成熟,手术成功率也日益提高[3]。常州市第二人民医院骨科自2013年1月
―2015年6月临床资料,现报道如下。
1 资料与方法
一般资料
此次研究是在2013年1月―2015年6月共计30个月的时间进行的,研究对象为方便选取常州市第二人民医院的52例临床患者,这52例患者均经过X线检查确诊为膝关节骨关节炎,而且患者的情况都满足需要进行手术的指征。男25例,女27例,平均年龄(±)岁,平均病程(±)年;左膝关节23例,右膝关节29 例;其中有35例患者出现膝关节畸形,有19例患者为膝关节外翻畸形,有16例患者为内翻畸形。52位患者全部没有手术禁忌症,而且经过