| 两种方法治疗膝关节内侧间室骨性关节炎的临床疗效比较 |
| 投稿时间：2017-03-20 修订日期：2017-04-21 点此下载全文 |
| 引用本文：王义文,杨成林,耿硕.两种方法治疗膝关节内侧间室骨性关节炎的临床疗效比较[J].医学研究杂志,2018,47(3):37-40 |
| DOI：
10.11969/j.issn.1673-548X.2018.03.011 |
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| 基金项目:国家自然科学基金资助项目（面上项目）（81672194） |
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| 中文摘要:目的 比较研究两种手术方法治疗膝关节内侧间室骨性关节炎的临床效果。方法 选取2013年1月~2016年1月于笔者院收治的49例膝关节内侧间室骨性关节炎患者。按照手术方式不同将49例患者分为单髁关节置换术组U组（21例）、腓骨近端截骨术F组（28例）分别记录并比较两组患者其切口长度、术中失血量、手术时间、住院时间、总费用、HSS评分及VAS。结果 U组和F组患者术后3个月的VAS均较本组术前显著下降、HSS评分较术前均明显增高（P<0.05）。两组患者间的术前、术后HSS评分及VAS同期比较，差异均无统计学意义（P>0.05）。F组患者的手术时间、切口长度、术中失血量、住院时间、住院期间的总费用等显著优于U组（P<0.05）。结论 腓骨近端截骨术可获得与UKA相近的疗效，且具有创伤小、出血少、花费低、手术及住院时间短等优点，因而具有良好的前景。 |
| 中文关键词:膝关节 骨性关节炎 腓骨 截骨术 置换 |
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| Clinical Comparison Study on the Treatment of Medial Compartment Osteoarthritis of the Knee by UKA Versus Proximalfibular Osteotomy |
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| Abstract:Objective To compare the clinical results of two surgery for medial compartment osteoarthritis of theknee. Methods We choosed 49 patients with medial compartment osteoarthritis knee joint who were accessed to the hospital in the corresponding standards from January 2013 to January 2016.All the patients were divided into two groups according to the different surgery:unicompartmental knee athroplasty U group(21 patients)and proximal fibular osteotomy F group(28 patients).We recorded and compared the two groups with the operative incisionlength,bloodloss,operationtime,hospitalization time,totalcost during hospitalization, HSS and VAS. Results After operating 3 months, the HSS knee score of the two groups increased significantly and the VAS decreased significantly(P<0.05).While compared between the two groups in the same period, there were no significant differences in HSS and VAS(P>0.05).The operative incision length,the amount of blood loss, operation time,hospitalization time, total cost during hospitalization in F group were significantly better than those in U group,and the difference was statistically significant(P<0.05). Conclusion Proximal fibula osteotomy has the similar effect with the UKA and has the advantages of less trauma, less blood loss, low cost, shorter duration of operation and shorter hospitalization time etc. It has a good prospect. |
| keywords:Knee joint Osteoarthritis Fibular Osteotomy Replacement |
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