UKA与TKA治疗膝关节内侧单间室骨性关节炎的临床对比

被引：21

作者：

张树立

张勇

孙鲁伟

宋磊

胡克伟

机构：

[1] 山东省潍坊市中医院

来源：

现代生物医学进展 | 2016年 / 16卷 / 24期

关键词：

膝关节; 内侧单间室骨性关节炎; 单髁置换术; 全膝关节置换术;

D O I：

10.13241/j.cnki.pmb.2016.24.031

中图分类号：

R687.4 [关节手术];

学科分类号：

100220 [骨科学];

摘要：

目的:探究膝关节单髁置换术(UKA)与全膝关节置换术(TKA)治疗膝关节内侧单间室骨性关节炎的临床治疗效果。方法:将2011年4月-2015年7月期间因膝关节单间室骨性关节炎入院接受治疗的89例患者纳入本研究,随机分为研究组和对照组,研究组44例,行UKA手术,对照组45例,采用TKA手术方式治疗。对两组患者进行术后随访,对比临床治疗效果。结果:两组术前均有明显膝关节疼痛,术后膝关节疼痛均明显改善,组间差别无显著统计学意义(X2=1.323,P=0.250>0.05);术后膝关节屈曲角度、HSS评分相对于术前均显著改善,研究组术后膝关节屈曲角度(111.2±18.8)度高于对照组的(98.6±14.7)度,差异有统计学意义(P<0.05);HSS评分(87.6±13.7)分高于对照组的(73.2±16.8)分,差异有统计学意义(P<0.05);研究组膝关节屈曲至90度时间比对照组短,数据差异有统计学差异(t=-2.303,P=0.024<0.05)。结论:膝关节内侧单间室骨性关节炎采用UKA与TKA均能取得一定临床效果,减轻患者痛苦,改善膝关节功能,但UKA临床疗效较好,手术创伤较小,术后恢复较快。

引用

页码：4716 / 4718+4722 +4722

页数：4

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