关节镜清理术治疗骨性关节炎

Arthroscopic synovectomy and debridement for knee Joint osteoarthritis

  • 摘要: 目的:研究骨性关节炎在关节镜下的病理变化及关节镜清理术治疗骨性关节炎的临床疗效。方法:对93例(152个膝关节)骨性关节炎进行关节镜检查,并在关节镜下切削增生肥厚的滑膜组织、清理剥脱的软骨碎片、修整破损的半月板游离缘、磨削影响关节活动的增生骨赘,大量生理盐水冲洗和稀释关节内致痛物质。结果:关节镜下发现骨性关节炎的主要病理改变是:膝关节滑膜组织增生、肥厚、水肿;负荷区关节软骨退变;关节边缘骨赘形成;半月板游离缘毛糙。关节镜下清理术和冲洗术后膝关节肿胀、疼痛缓解,膝关节活动度改善。结论:关节镜清理术治疗膝关节骨性关节炎方法简便可靠、有效,可减轻疼痛,改善功能,可延缓骨性关节炎的发病过程。

     

    Abstract: Objective: To study arthroscopic synovectomy and debridement of knee Joint osteoarthritis.Methods: Arthroscopic synovectomy and debridement were performed in one hundred and fifty two knees in 93 patients with ostoarthritis.Results: The main pathological change,of osteoarthritis were synovitis, degeneration of ostechondral tissue and osteophyma, After debridement and irrigation joint pain and swelling subsided in most of patients and the range of motion much improved. Conclusion: Arthroscopic synovectomy and debridement for osteoarthritis of knee joint may improve the function, stop pain and delay the developing process of osteoarthritis. Thus, it is a good method for treatment of osteoarthritis.

     

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