人工全膝关节置换术治疗膝关节骨性关节炎的体会

王林鹰

（陕西省渭南市第二医院，陕西 渭南，714000）

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摘要：

目的 探讨人工全膝关节置换术治疗膝关节骨性关节炎的疗效。方法 选取2012年3月至2015年3月的120例膝关节骨性关节炎患者，观察并记录所有患者术前、术后的VAS评分和HSS评分，评价人工全膝关节置换术治疗膝关节骨性关节炎的疗效。结果 术后6个月经X线片检查结果显示，所有患者假体位置良好，无松动或脱位。术前所有患者VAS平均得分 为（8.25±0.71）分，术后6个月VAS平均得分为（2.53±0.63）分，术后6个月VAS评分明显低于术前（P<0.05）。术前HSS评分 为（39.26±9.64）分，术后6个月HSS 评分为（92.48±13.68）分，术后6个月的HSS评分明显高于术前（P<0.05）。术后6个月，患者SF-36量表各项评分均明显增加（P<0.05）。随访期间，所有患者均无血管损伤、腓总神经损伤、下肢深静脉血栓、感染等并 发症发生。结论 采用人工全膝关节置换术可以明显改善患者膝关节功能，可减轻炎症带来的疼痛感，提高患者生活质量，具 有较好的临床应用价值。

关键词：人工全膝关节置换术；膝关节骨性关节炎；膝关节功能

中图分类号：R687.4文献标志码：A文章编号：2096-1413(2017)11-0083-02

Experience of total knee arthroplasty in the treatment of knee joint osteoarthritis
WANG Lin-ying
(the Second Hospital of Weinan, Weinan 714000, China)

ABSTRACT: Objective To investigate the clinical effect of total knee arthroplasty in the treatment of knee joint osteoarthritis. Methods One hundred and twenty cases of patients with knee joint osteoarthritis from March 2012 to March 2015 were selected. The preoperative and postoperative VAS score and HSS score of all the patients were observed and recorded, and the clinical effect of total knee arthroplasty in the treatment of knee joint osteoarthritis were evaluated. Results After six months, the X-ray examination showed that all patients had good position, no loosening or dislocation. The preoperative VAS score was (8.25±0.71), while the postoperative VAS score was (2.53±0.63), the postoperative VAS score was significantly lower than postoperative VAS score (P<0.05). The preoperative HSS score was (39.26±9.64), while the postoperative HSS score was (92.48±13.68), the postoperative HSS score was significantly higher than the preoperative HSS score (P<0.05). Six months after the operation, the scores of all the patients with SF-36 were significantly increased (P <0.05). During the follow-up period, all the patients had no vascular injury, common peroneal nerve injury, deep vein thrombosis, infection and other complications. Conclusion Total knee arthroplasty can significantly improve the knee joint function of the patients, reduce the pain caused by inflammation and improve the quality of life of patients, which has good clinical application value.
KEYWORDS: total knee arthroplasty; knee joint osteoarthritis; knee joint function

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