孙彦+顾宣歆(等)

    [摘要] 目的 比较髌骨成形术与传统膝关节置换术治疗膝关节骨性关节炎的临床效果。 方法 选择2011年7月～2012年12月于浙江省海宁市人民医院住院并行手术治疗的膝关节骨性关节炎患者109例，其中，行髌骨成形术48例(髌骨成形术组)，行传统膝关节置换术61例(传统膝关节置换术组)，记录其术前、术后1周及术后2个月的VAS评分和KSS评分。 结果 髌骨成形术组术前、术后1周及术后2个月的VAS评分分别为(7.12±1.91)、(5.65±1.30)、(4.11±1.69)分，KSS评分分别为(48.12±11.88)分、(53.34±7.34)分、(65.12±5.37)分；传统膝关节置换术组术前、术后1周及术后2个月的VAS评分分别为(7.59±2.41)、(4.55±1.69)、(2.35±1.28)分，KSS评分分别为(30.25±10.95)、(66.55±10.37)、(78.01±13.12)分；传统膝关节置换术组术后1周及术后2个月的VAS评分均较髌骨成形术组低，KSS评分均较髌骨成形术组高，差异均有统计学意义(均P < 0.05)。 结论 对于治疗中晚期骨性关节炎，传统膝关节置换术较髌骨成形术效果更佳。

    [关键词] 膝关节骨性关节炎；髌骨成形术；传统膝关节置换术

    [中图分类号] R684.3 [文献标识码] A [文章编号] 1673-7210(2014)10(a)-0035-05

    Clinical observation of patellar arthroplasty and traditional knee arthroplasty in the treatment of knee osteoarthritis

    SUN Yan1 GU Xuanxin1 QIAN Yuening1 GU Xiaomin2

    1.The First Department of Orthopedics， the People's Hospital of Haining City， Zhejiang Province， Haining 314400， China； 2.Department of Orthopaedics， the Second People's Hospital of Hangzhou City， Zhejiang Province， Hangzhou 310015， China

    [Abstract] Objective To discuss the clinical effects of patellar arthroplasty and traditional knee arthroplasty in the treatment of knee osteoarthritis. Methods 109 patients with knee osteoarthritis underwent operative treatment in the People's Hospital of Haining City from July 2011 to December 2012 were selected. 48 cases were given patellar arthroplasty treatment (patellar arthroplasty group) ......