标题：关节镜下有限清理联合骨赘清除治疗膝关节骨性关节炎疗效观察

      作者：王 洋，梁 炜，陆思伟，邱学勇，杨显春
    （成都市第三人民医院骨科，四川 成都 610000）

      卷次： 2015年26卷4期

      【摘要】 目的 探讨关节镜下有限清理联合骨赘清除治疗膝关节骨性关节炎的临床疗效。方法 选择
2012年 1月至 2014年 1月我院收治的 100例骨赘增生膝关节骨性关节炎患者，随机分为观察组与对照组各 50
例，对照组采用关节镜下有限清理术治疗，观察组采用关节镜下有限清理联合骨赘清除术治疗，记录并对比两组
患者术前、术后2周、1个月、3个月的Lysholm评分和视觉模拟评分(VAS)。结果 术前两组患者Lysholm评分比
较差异无统计学意义(P>0.05)，术后两组患者Lysholm评分均较术前明显提高，术后 2周、1个月、3个月观察组
Lysholm评分明显高于对照组，差异均有统计学意义(P<0.05)。术前两组患者VAS评分比较差异无统计学意义(P>
0.05)，术后两组患者VAS评分均较术前明显降低，术后2周、1个月、3个月观察组VAS评分明显低于对照组，差异均
有统计学意义(P<0.05)。观察组总有效率为95.8%，高于对照组的71.4%，差异有统计学意义(P<0.05)。结论 关节
镜下有限清理联合骨赘清除治疗膝关节骨性关节炎可以有效改善患者膝关节功能，降低疼痛等症状，患者恢复
情况更佳，值得临床推广应用。

      【关键词】 关节镜；骨赘清除；膝关节骨性关节炎

      【中图分类号】 R684.3 【文献标识码】 A 【文章编号】 1003—6350（2015）04—0514—03


Effect of minimally invasive debridement under arthroscope combined with osteophyte removal in the
treatment of knee osteoarthritis.
WANG Yang, LIANG Wei, LU Si-wei, QIU Xue-yong, YANG Xian-chun. Department
of Orthopedics, the Third People's Hospital of Chengdu, Chengdu, 610000, Sichuan, CHINA

【Abstract】 Objective To explore the effect of minimally invasive debridement under arthroscope combined
with osteophyte removal in the treatment of knee osteoarthritis. Methods One hundred patients of knee osteoarthritis
from January 2012 to January 2014 in our hospital were selected and randomly divided into the observation group and
the control group, with 50 cases in each group. The control group was treated with minimally invasive debridement un-
der arthroscope, while the observation group was treated with minimally invasive debridement under arthroscope com-
bined with osteophyte removal. Lysholm score and visual analogue scale (VAS) were recorded and compared between
the two groups before surgery, and 2 weeks, 1 month, 3 months after surgery. Results Lysholm score showed no statis-
tically significant difference between the two groups before treatment (P>0.05). The score were significantly increased
after treatment in the two groups, which was significantly higher in the observation group than the control group 2
week, 1 month, 3 months after surgery (P<0.05). VAS scores of two groups had no statistically significant difference be-
fore treatment (P>0.05), and they were significantly decreased after treatment. The score was significantly lower in the
observation group than the control group 2 weeks, 1 month, 3 months after surgery (P<0.05). The total effective rate of
the observation group was 95.8%, significantly higher than 71.4% of the control group (P<0.05). Conclusion Mini-
mally invasive debridement under arthroscope combined with osteophyte removal in the treatment of knee osteoarthri-
tis can effectively improve the patients' knee joint functions, reduce pain and other symptoms, with better recovery,
which is worth of clinical application.

      【Key words】 Arthroscopy; Osteophyte removal; Knee osteoarthritis