| 陈为民,王卫军,施鸿飞.单髁置换术与胫骨高位截骨术治疗膝关节内侧间室骨关节炎的疗效比较[J].安徽医药,2021,25(9):1753-1756. |
| 单髁置换术与胫骨高位截骨术治疗膝关节内侧间室骨关节炎的疗效比较 |
| Comparison of the effects between single iliac replacement and HTO in the treatment of medial compartment osteoarthritis of the knee |
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| DOI：10.3969/j.issn.1009-6469.2021.09.013 |
| 中文关键词: 骨关节炎，膝 膝关节内侧间室骨关节炎 单髁置换术 胫骨高位截骨术 疗效 并发症 |
| 英文关键词: Osteoarthritis, knee Medial compartment osteoarthritis Single iliac replacement HTO Efficacy Complications |
| 基金项目:国家自然科学基金项目( 81572132) |
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| 中文摘要: |
| 目的对比分析单髁置换术与胫骨高位截骨术( HTO)治疗膝关节内侧间室骨关节炎的疗效。方法选择 2015年 2月至 2018年 2月泰州市第二人民医院收治的膝关节内侧间室骨关节炎病人 84例，按照随机数字表法分为两组，各 42例。对照组行 HTO治疗，观察组行单髁置换术治疗。对比两组手术时间、术中出血量、术后疼痛程度、手术前后膝关节活动度( ROM)、美国纽约特种外科医院( HSS)评分及西安大略和麦克马斯特大学骨关节炎指数( WOMAC)评分及并发症等情况。结果观察组手术时间与对照组相比，差异无统计学意义( P>0.05)；观察组术中出血量为( 151.27±19.85)mL，低于对照组( 172.55±20.32)mL(P<0.05)；观察组术后 1、3个月的视觉模拟评分法( VAS)评分分别为( 1.81±0.72)分、(1.65±0.57)分，显著低于对照组( 2.85±0.75)分、(2.58±0.81)分(均 P<0.05)；观察组术后 1个月的 WOMAC评分低于对照组［( 36.55±7.01)分比( 40.68±6.59)分， P<0.05］，ROM高于对照组［( 126.5±11.5)分比( 120.5±10.8)分， P<0.05］，观察组术后 1、3个月 HSS评分分别为( 76.85±7.28)分、(87.73±8.48)分，均高于对照组( 73.25±7.52)分、(82.69±8.15)分(均 P<0.05)。观察组住院费用低于对照组( P<0.05)。结论单髁置换术与 HTO治疗膝关节内侧间室骨关节炎均具有显著疗效，可减轻术后疼痛程度；单髁置换术近期疗效更优。 |
| 英文摘要: |
| Objective To compare the efficacy of single iliac replacement with that of high tibial osteotomy (HTO) in the treatmentof medial compartment osteoarthritis of the knee.Methods From February 2015 to February 2018, 84 patients with medial compartment osteoarthritis of the knee were treated in Taizhou Second People's Hospital. They were assigned into two groups according to therandom number table, 42 cases in each group. The control group underwent HTO therapy, and the observation group was treated withsingle iliac replacement. A comparison was made between the two groups of the operation time, intraoperative blood loss, postoperativepain degree, knee ROM, HSS score, WOMAC score and complications.Results There was no significant difference in the operation time between the observation group and the control group (P>0.05). The intraoperative blood loss was lower in the observation group than in the control group [(151.27±19.85) mL vs. (172.55±20.32) mL, P<0.05]. The VAS scores of the observation group at 1 and 3months after operation were significantly lower than those of the control group [(1.81±0.72) vs. (2.85±0.75), (1.65±0.57) vs. (2.58±0.81), repectively; P < 0.05]. The WOMAC scores of the observation group at 1 month after operation were significantly lower than those of thecontrol group [(36.55±7.01) vs. (40.68±6.59), P<0.05], The ROM scores of the observation group at 1 month after operation were significantly higher than those of the control group [(126.5±11.5) vs. (120.5±10.8), P<0.05] and the HSS score of the observation group wassignificantly higher than that of the control group at 1 and 3 months after operation [(76.85±7.28) vs. (73.25±7.52), (87.73±8.48) vs. (82.69±8.15), respectively; P<0.05]. The hospitalization costs of the observation group was lower than that of the control group (P<0.05). Conclusions Single iliac replacement and HTO both have significant curative effect on medial compartment osteoarthritis of theknee, which can reduce the degree of postoperative pain. Single iliac replacement was better in the near future. |
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