首页|股骨关节面软骨损伤微骨折术联合玻璃酸钠注射修复治疗的临床效果分析

股骨关节面软骨损伤微骨折术联合玻璃酸钠注射修复治疗的临床效果分析

扫码查看
目的:探讨微创手术联合玻璃酸钠注射治疗股骨关节面软骨损伤的效果.方法:选取78例股骨关节面软骨损伤患者,随机分成研究组(39例)与对照组(39例).两组均接受微创手术治疗,研究组应用玻璃酸钠注射修复治疗,对照组未应用.比较两组临床疗效、膝关节功能、疼痛及血清指标.结果:研究组治疗总有效率为92.31%,显著高于对照组的74.36%(P<0.05).术后8周,研究组Lysholm评分显著提高(P<0.05),且较对照组高.术后4周、8周,研究组疼痛程度(NRS评分)显著降低,且较对照组低(P<0.05).术后4周,研究组IL-6、CTX-Ⅱ、TNF-α水平显著降低,且较对照组低(P<0.05).结论:微创手术联合玻璃酸钠注射治疗股骨关节面软骨损伤可显著提高临床疗效,改善膝关节功能,减轻疼痛,调节血清指标.
Clinical effect analysis of microfracture surgery combined with sodium hyaluronate injection repair for femoral articular cartilage injury
Objective:To investigate the effect of minimally invasive surgery combined with sodium hyaluronate injection in the treatment of femoral articular facial cartilage injury.Methods:A total of 78 patients with femoral articular facial cartilage injury were selected and randomly divided into study group(39 cases)and control group(39 cases).Both groups received minimally invasive surgery,the study group was treated with sodium hyaluronate injection repair treatment,the control group was not treated.The clinical efficacy,knee function,pain and serum indexes were compared between the two groups.Results:The total effective rate of the study group was 92.31%,which was significantly higher than 74.36%of the control group(P<0.05).At 8 weeks after operation,the Lysholm score of the study group was significantly increased(P<0.05),and was higher than that of the control group.At 4 and 8 weeks after surgery,the pain degree(NRS score)of the study group was significantly decreased(P<0.05),which was lower than that of the control group.At 4 weeks after operation,the levels of IL-6,CTX-Ⅱ and TNF-α in the study group were significantly decreased(P<0.05),which were lower than those in the control group.Conclusion:Minimally invasive surgery combined with sodium hyaluronate injection in the treatment of femoral articular surface cartilage injury can significantly improve clinical efficacy,improve knee joint function,reduce pain,and regulate serum indexes.

Femoral articular cartilage injuryMicrofracture surgerySodium hyaluronateJoint function

朱培丽、宋子民、乔源鑫、李莉

展开 >

南阳市中医院运动医学科,河南 南阳 473000

股骨关节面软骨损伤 微骨折术 玻璃酸钠 关节功能

2024

延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
年,卷(期):2024.47(3)