关节镜手术治疗半月板撕裂后骨性关节炎的患病率及相关因素-现代医学

关节镜手术治疗半月板撕裂后骨性关节炎的患病率及相关因素

单位：无锡市人民医院骨科, 江苏无锡 214023

分类号：R684.3

出版年·卷·期（页码）：2019·47·第五期（547-551）

摘要：

目的：调查关节镜手术治疗半月板撕裂后骨性关节炎（OA）的患病率和相关因素。方法：选择2013年1月到2018年1月在本院接受关节镜下手术的200例半月板撕裂患者，对患者进行症状发作、症状持续时间、机械绞锁症状以及膝关节损伤和骨关节炎结果评分（KOOS）的问卷调查。根据KOOS疼痛分量表结果计算早期OA的患病率。结果：43%（86/200）的患者患有早期OA，早期OA患者的症状发作频率比非早期OA的患者显著增高（P<0.05）。纵向垂直撕裂在非早期OA的患者中比早期OA患者的发生率显著增高（P<0.05）；而复杂撕裂的发生率早期OA患者比非早期OA患者显著增高（P<0.05），且早期OA患者患有严重的软骨损伤。结论：关节镜手术治疗半月板撕裂后早期OA，患病率高的患者的年龄通常较大，具有较高的体质量指数。

Objective:To investigate the prevalence and related factors of osteoarthritis in a group of patients undergoing arthroscopic surgery for meniscal tears. Methods:A total of 200 patients with meniscal tears undergoing arthroscopic surgery were enrolled between January 2013 and January 2018. A questionnaire survey of symptom onset, duration of symptoms and mechanical symptoms, and knee injury and osteoarthritis outcome score (KOOS) was completed in the patients. Under arthroscopy, the surgeons recorded information about meniscal lesions and cartilage damage. The KOOS pain subscale was used to define frequent knee pain patients as early OA to determine the prevalence of early OA. Results:43%(86/200) of patientshad early OA. The frequency of symptoms onset in early OA patients was significantly higher than that in non-early OA patients (P<0.05). In addition, the incidence of vertical tear in non-early OA patients was significantly higher than that in early OA patients (P<0.05), while the incidence of complex tear mode in early OA patients was significantly higher than that in non-early OA patients (P<0.05). A large proportion of patients in the early OA group had severe cartilage damage. Conclusion:Patients with early OA after arthroscopic surgery for meniscal tear are usually older, with a higher BMI.

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