目的 探究膝关节镜下清理术联合去神经化术对髌股关节炎膝前痛的疗效.方法 选取2012年9月-2015年9月该院收治的60例髌股关节炎膝前痛患者为研究对象,采用随机数表法将患者分为观察组和对照组,各30例.给予对照组患者关节镜清理术治疗,给予观察组患者关节镜清理术联合髌骨周围去神经化术治疗.对比观察组和对照组患者术前和术后3个月的美国西部Ontario和McMaster大学骨关节炎指数(WOMAC)评分、Lysholm评分和Kujala评分.结果 术前观察组和对照组患者各项评分差异均无统计学意义(P>0.05).观察组和对照组患者术后3个月的各项评分较术前均显著改善,且观察组患者的WOMAC评分、Lysholm评分和Kujala评分较对照组患者均较佳,差异有统计学意义(P<0.05).术后3个月观察组30例患者出现2例感染和1例血管神经损伤,对照组30例患者出现1例感染和1例关节活动受限,两组患者术后不良反应差异无统计学意义(P>0.05).结论 给予髌股关节炎膝前痛患者关节镜清理术联合髌骨周围去神经化术治疗能够缓解疼痛,改善髌股关节功能和临床疗效,可以在临床上进一步推广和使用.%Objective To investigate the curative effect of knee arthroplasty combined with denervation technique on knee patellofemoral arthropathy. Methods 60 patients with patellofemoral arthritis were selected from September 2009 to September 2015 for the study. All the patients were divided into observation group and control group by random number table. The patients in the control group were treated with arthroscopic treatment, and the patients in observation group were treated with arthroscopic cleaning and patellar biotherapy. The WOMAC score, the Lysholm score, and the Kujala score were compared between the two groups before and 3 months after surgery. Results There was no significant difference between the preoperative observation group and the control group (P > 0.05). The scores of WOMAC score, Lysholm score and Kujala score were higher in the observation group and the control group than those before the control group (P < 0.05 ). There were 2 cases of infection and 1 case of vascular nerve injury in 30 cases of postoperative 3 m observation group. One case of infection and 1 case of joint activity were restricted in 30 cases of control group. There was no significant difference in postoperative adverse reaction between the two groups (P > 0.05). Conclusions Given patellofemoral arthritis knee arthroplasty arthroscopy combined with patellar percutaneous nerve treatment can relieve pain, improve patellofemoral function and clinical efficacy, can be further popularized and used in clinical practice.
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