• 1雙流縣第一人民醫(yī)院骨科(四川雙流,610200);2四川大學(xué)華西醫(yī)院骨科;

目的  評價(jià)玻璃酸鈉應(yīng)用于膝關(guān)節(jié)半月板損傷行關(guān)節(jié)鏡半月板修整成型術(shù)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(guān)節(jié)半月板損傷患者,男29例,女21例,年齡18~65歲。采用隨機(jī)、對照方法將患者分為兩組:試驗(yàn)組25例,為關(guān)節(jié)鏡術(shù)后應(yīng)用玻璃酸鈉組;對照組25例,為關(guān)節(jié)鏡術(shù)后空白對照組。隨訪時(shí)間3~6個(gè)月,無失訪患者。兩組治療前后采用Lysholm評分對膝關(guān)節(jié)功能進(jìn)行評定。 結(jié)果  隨訪發(fā)現(xiàn)兩組術(shù)后關(guān)節(jié)癥狀均好轉(zhuǎn)。兩組術(shù)前和術(shù)后1周Lysholm評分差異無統(tǒng)計(jì)學(xué)意義(P≥0.05),兩組術(shù)后2、3、4、5周Lysholm評分差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。 結(jié)論  膝關(guān)節(jié)半月板損傷患者,行關(guān)節(jié)鏡手術(shù)后應(yīng)用玻璃酸鈉,有利于其術(shù)后的康復(fù)。

引用本文: 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(guān)節(jié)半月板損傷關(guān)節(jié)鏡治療術(shù)后近期療效評價(jià). 華西醫(yī)學(xué), 2012, 27(12): 1862-1863. doi: 復(fù)制

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  4. 4.  Tapper EM , Hoover NW. Late results after meniscectomy[J]. J Bone Joint Surg Am,1969, 51(3): 517-526.
  5. 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. 6.  Messner K. Meniscal regeneration or meniscal transplantation? [J]. Scand J Med Sci Sports, 1999 , 9(3): 162-167.
  7. 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. 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. 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. 10.  Balazs EA, Denlinger JL. Viscosupplementation: a new concept in the treatment of osteoarthritis[J]. J Rheumatol Suppl,1993, 39: 3-9.