胫骨高位截骨术治疗膝关节骨性关节炎患者的治疗效果分析(1)
[摘要] 目的 評价胫骨高位截骨术治疗膝关节骨性关节炎患者的治疗效果。 方法 对该院2017年3月—2019年3月收治的膝关节关节炎患者进行筛选，从中方便选择106例作为该次研究的对象，随机进行编号，按照奇偶数分为两组，各组53例。研究组患者采用胫骨高位截骨术治疗，对照组患者实施腓骨截骨术治疗。比较两组手术指标、WOMAC评分、Lysholm评分以及HKA角。 结果 研究组患者术中出血量(10.13±9.02)mL、手术时间(32.04±5.18)min、住院时间(17.60±1.02)d、少于对照组(22.08±8.51)mL、(49.83±5.27)min、(28.10±1.21)d，差异有统计学意义(t=3.705、3.736、3.862，P<0.05);术后随访3个月，研究组WOMAC评分(14.25±4.26)分低于对照组(19.73±4.38)分，Lysholm评分(71.46±7.81)分高于对照组的(65.09±7.69)分，HKA角(176.02±2.97)°大于对照组的(172.09±2.88)°，差异有统计学意义(t=3.702、3.753、3.782，P<0.05);术后随访半年，研究组WOMAC评分(8.69±3.21)分低于对照组(12.05±3.09)分，Lysholm评分(86.67±4.98)分高于对照组的(78.05±5.02)分，HKA角(180.35±2.01)°大于对照组的(175.16±1.95)°，差异有统计学意义(t=3.854、3.807、2.806，P<0.05)。 结论 与腓骨截骨术治疗相比，采用胫骨高位截骨术治疗膝关节骨性关节炎能够缩短手术与住院时间，可以有效改善患者膝关节功能，临床疗效更为确切。
[关键词] 膝关节骨性关节炎;胫骨高位截骨术;WOMAC评分;Lysholm评分;效果
[中图分类号] R816.8 [文献标识码] A [文章编号] 1674-0742(2020)07(c)-0083-03
[Abstract] Objective To evaluate the therapeutic effect of high tibial osteotomy for patients with knee osteoarthritis. Methods Screening of patients with arthritis of the knee who were admitted to the hospital from March 2017 to March 2019， 106 cases were convenient selected as the object of this study， the system was randomly numbered， and divided into two groups according to odd and even numbers， each group 53 example. The patients in the study group were treated with high tibial osteotomy， and the patients in the control group were treated with fibula osteotomy. Surgical indicators， WOMAC score， Lysholm score and HKA angle were compared between the two groups. Results The intraoperative blood loss (10.13±9.02)mL， operation time (32.04±5.18)min， hospital stay (17.60±1.02)d， less than the control group (22.08±8.51)mL、(49.83±5.27)min、(28.10±1.21)d， statistically different(t=3.705， 3.736， 3.862， P<0.05); Follow-up 3 months postoperatively， the WOMAC score of the study group (14.25±4.26)points was lower than that of the control group (19.73±4.38)points ， and the Lysholm score (71.46±7.81) points was (65.09±7.69 )points and HKA angle (176.02±2.97)° of the control group were greater than the (172.09±2.88)° of the control group， the difference was statistically significant (t=3.702， 3.753， 3.782， P<0.05); the follow-up half a year after operation， the research group WOMAC score (8.69±3.21)points lower than the control group (12.05±3.09)， Lysholm score (86.67±4.98) higher than the control group (78.05±5.02)points， HKA angle (180.35±2.01)° greater than the control group (175.16±1.95)°， the difference was statistically significant (t=3.854， 3.807， 2.806， P<0.05). Conclusion Compared with the treatment of fibular osteotomy， high tibial osteotomy for knee osteoarthritis can shorten the operation and hospital stay time， can effectively improve the knee function of patients， and the clinical effect is more accurate., http://www.100md.com(吕英军)
[关键词] 膝关节骨性关节炎;胫骨高位截骨术;WOMAC评分;Lysholm评分;效果
[中图分类号] R816.8 [文献标识码] A [文章编号] 1674-0742(2020)07(c)-0083-03
[Abstract] Objective To evaluate the therapeutic effect of high tibial osteotomy for patients with knee osteoarthritis. Methods Screening of patients with arthritis of the knee who were admitted to the hospital from March 2017 to March 2019， 106 cases were convenient selected as the object of this study， the system was randomly numbered， and divided into two groups according to odd and even numbers， each group 53 example. The patients in the study group were treated with high tibial osteotomy， and the patients in the control group were treated with fibula osteotomy. Surgical indicators， WOMAC score， Lysholm score and HKA angle were compared between the two groups. Results The intraoperative blood loss (10.13±9.02)mL， operation time (32.04±5.18)min， hospital stay (17.60±1.02)d， less than the control group (22.08±8.51)mL、(49.83±5.27)min、(28.10±1.21)d， statistically different(t=3.705， 3.736， 3.862， P<0.05); Follow-up 3 months postoperatively， the WOMAC score of the study group (14.25±4.26)points was lower than that of the control group (19.73±4.38)points ， and the Lysholm score (71.46±7.81) points was (65.09±7.69 )points and HKA angle (176.02±2.97)° of the control group were greater than the (172.09±2.88)° of the control group， the difference was statistically significant (t=3.702， 3.753， 3.782， P<0.05); the follow-up half a year after operation， the research group WOMAC score (8.69±3.21)points lower than the control group (12.05±3.09)， Lysholm score (86.67±4.98) higher than the control group (78.05±5.02)points， HKA angle (180.35±2.01)° greater than the control group (175.16±1.95)°， the difference was statistically significant (t=3.854， 3.807， 2.806， P<0.05). Conclusion Compared with the treatment of fibular osteotomy， high tibial osteotomy for knee osteoarthritis can shorten the operation and hospital stay time， can effectively improve the knee function of patients， and the clinical effect is more accurate., http://www.100md.com(吕英军)