胫骨高位截骨患者术前软骨损伤与术后VAS评分的关系

doi:10.6040/j.issn.1671-7554.0.2023.0144

摘要/Abstract

摘要： 目的通过分析胫骨高位截骨患者术前软骨损伤情况与术后膝关节疼痛视觉模拟评分(VAS)的关系,评估术前软骨损伤分级与胫骨高位截骨手术临床疗效的关系。方法回顾性分析我院于2018年10月至 2021年5月手术治疗并获得随访的膝关节骨关节炎患者42例,分为软骨损伤Outbridge Ⅲ级组和Outbridge Ⅳ级组,对患者手术时间、术中出血量、术中膝关节镜下软骨损伤情况、术后引流量及术后6周,3、6、12个月随访情况进行统计,采用VAS评分系统评定膝关节疼痛程度。结果 42例患者均获得随访,平均随访7.39个月(6~12个月),截骨骨折线均全部临床愈合。Outbridge Ⅲ级组和Outbridge Ⅳ级组胫骨高位截骨患者手术时间、术后引流量、术中出血量均差异无统计学意义(P>0.05),两组患者术后膝关节疼痛VAS评分差异无统计学意义(P>0.05)。结论经胫骨高位截骨术治疗后,Outbridge Ⅲ级、Ⅳ级膝关节骨性关节炎患者均能获得满意的临床疗效,并且手术时间、术中出血量、术后引流量、术后VAS评分均不受影响。

关键词: 胫骨高位截骨术, 软骨损伤, 视觉模拟评分, 保膝治疗

Abstract: Objective To evaluate the relationship between preoperative cartilage injury and clinical efficacy of high tibial osteotomy(HTO)by analyzing the postoperative visual analogue scale(VAS)of knee pain. Methods Clinical data of 42 patients with knee osteoarthritis treated with surgery and followed up during Oct. 2018 and May 2021 were retrospectively analyzed. The patients were divided into Outbridge Ⅲ group and Outbridge Ⅳ group. The operation time, intraoperative blood loss, intraoperative cartilage injury under knee arthroscopy, postoperative drainage volume, and follow-up results at 6 weeks, 3 months, 6 months, and 1 year were statistically analyzed. The degree of knee pain was evaluated with VAS scoring system. Results All 42 patients were followed up for an average of 7.39 months(6-12 months). All osteotomy fracture lines were clinically healed. There were no significant differences in operation time, postoperative drainage volume, intraoperative blood loss and VAS between the two groups(P>0.05). Conclusion Patients with Outbridge Ⅲ and Outbridge Ⅳ knee osteoarthritis can obtain satisfactory clinical results after HTO.

Key words: High tibial osteotomy, Cartilage injury, Visual analogue scale, Knee preservation treatment

中图分类号:

R687.4

李磊,卢群山,张宝庆,韩凯飞,郑通,李炳龙,刘培来. 胫骨高位截骨患者术前软骨损伤与术后VAS评分的关系[J]. 山东大学学报 (医学版), 2023, 61(10): 69-73.

LI Lei, LU Qunshan, ZHANG Baoqing, HAN Kaifei, ZHENG Tong, LI Binglong, LIU Peilai. Relationship between preoperative cartilage condition and postoperative VAS in patients undergoing high tibial osteotomy[J]. Journal of Shandong University (Health Sciences), 2023, 61(10): 69-73.

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