玻璃酸鈉用于膝關節半月板損傷關節鏡治療術后近期療效評價_West China Medical Journal

Authors：

羅大輝 ¹ , 李艷霞 ¹ , 李海波 ¹ , 葉京兵 ² , 付維力 ² , 陳瑩 ² ,  李箭 ²

Corresponding?author：

李箭, Email: hxldh1973@163.com

Keywords：

玻璃酸鈉; 膝關節; 半月板損傷; 關節鏡手術

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目的　評價玻璃酸鈉應用于膝關節半月板損傷行關節鏡半月板修整成型術后患者的近期療效。方法　2008年9月－2009年3月，共收治50例膝關節半月板損傷患者，男29例，女21例,年齡18～65歲。采用隨機、對照方法將患者分為兩組：試驗組25例，為關節鏡術后應用玻璃酸鈉組；對照組25例，為關節鏡術后空白對照組。隨訪時間3～6個月，無失訪患者。兩組治療前后采用Lysholm評分對膝關節功能進行評定。結果　隨訪發現兩組術后關節癥狀均好轉。兩組術前和術后1周Lysholm評分差異無統計學意義（P≥0.05），兩組術后2、3、4、5周Lysholm評分差異有統計學意義（P＜0.05）。結論　膝關節半月板損傷患者，行關節鏡手術后應用玻璃酸鈉，有利于其術后的康復。

Citation： 羅大輝,李艷霞,李海波,葉京兵,付維力,陳瑩,李箭. 玻璃酸鈉用于膝關節半月板損傷關節鏡治療術后近期療效評價. West China Medical Journal, 2012, 27(12): 1862-1863. doi: Copy

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2. 　Schimmer RC, Brulhart KB, Duff C, et al. Arthroscopic partial meniscectomy: a 12 year follow-up and tow-step evaluation of the long term course[J]. J Arthroscopy, 1998 , 14(2): 136-142.
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4. 　Tapper EM , Hoover NW. Late results after meniscectomy[J]. J Bone Joint Surg Am,1969, 51(3): 517-526.
5. 　McCarty EC, Marx RG, DeHaven KE. Meniscus repair:considerations in treatment and update of clinical results [J]. Cln Orthop Relat Res, 2002, 402: 122-134.
6. 　Messner K. Meniscal regeneration or meniscal transplantation? [J]. Scand J Med Sci Sports， 1999 , 9(3): 162-167.
7. 　Goble EM, Kohn D, Verdonk R, et al. Meniscal substitutes--human experience [J]. Scand J Med Sci Sports, 1999, 9(3): 146-157.
8. 　Rockborn P, Gillquist J. Long-term results after arthroscopic meniscectomy. The role of preexisting cartilage fibrillation in a 13 year follow-up of 60 patients[J]. Int J Sports Med， 1996 ,17(8): 608-613.
9. 　Hascall VC, Majors AK, De La Motte CA, et al. Intracellular hyaluronan: a new frontier for inflammation? [J]. Biochim Biophys Acta， 2004 , 1673(1-2): 3-12.
10. 　Balazs EA, Denlinger JL. Viscosupplementation: a new concept in the treatment of osteoarthritis[J]. J Rheumatol Suppl，1993, 39: 3-9.

West China Medical Journal

玻璃酸鈉用于膝關節半月板損傷關節鏡治療術后近期療效評價

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