[1]李昱川. 臭氧联合腓骨近端截骨治疗膝关节炎的疗效分析[J].中国医学物理学杂志,2019,36(4):483-486.[doi:DOI:10.3969/j.issn.1005-202X.2019.04.022]
　LI Yuchuan. Therapeutic effects of ozone combined with proximal fibular osteotomy on knee osteoarthritis[J].Chinese Journal of Medical Physics,2019,36(4):483-486.[doi:DOI:10.3969/j.issn.1005-202X.2019.04.022]
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 臭氧联合腓骨近端截骨治疗膝关节炎的疗效分析()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第4期
页码:
483-486
栏目:
医学生物物理
出版日期:
2019-04-25

文章信息/Info

Title:
 Therapeutic effects of ozone combined with proximal fibular osteotomy on knee osteoarthritis
文章编号:
1005-202X（2019）04-0483-04
作者:
 李昱川
 柳州市柳铁中心医院， 广西 柳州 545007
Author(s):
LI Yuchuan
 Liuzhou Municipal Liutie Central Hospital, Liuzhou 545007, China
关键词:
 ; 膝关节炎; 臭氧; 腓骨; 近端截骨; 膝关节置换
Keywords:
 ; Keywords: knee osteoarthritis;  ozone;  fibula;  proximal osteotomy;  knee arthroplasty
分类号:
R684.3
DOI:
DOI:10.3969/j.issn.1005-202X.2019.04.022
文献标志码:
A
摘要:
 目的：分析臭氧联合腓骨近端截骨治疗膝关节炎（KOA）的临床疗效。方法：回顾性分析40例KOA病变患者，分别采用臭氧联合腓骨近端截骨20例（观察组），膝关节置换治疗20例（对照组）。比较两组患者总失血量、输血量、手术时间、住院期间总花费，术后并发症等情况，两组术后1~6个月AKS评分及VAS评分。结果：40例均获随访，与对照组相比，观察组患者总失血量、输血量、手术时间、住院时间、住院期间总花费有统计学差异（P<0.05），术后并发症较少。术前与术后相比，两组患者AKS评分明显升高，VAS评分明显降低，有统计学差异（P<0.05），但术后随访，AKS评分及VAS评分组间比较差异无统计学意义（P>0.05）。结论：臭氧联合腓骨近端截骨短期内可以获得与膝关节置换相似的术后效果，同时具有对关节损伤小、出血少、手术时间短、费用低等优势，更适合基层医院开展。
Abstract:
 Abstract: Objective To investigate the clinical effects of ozone combined with proximal fibular osteotomy in the treatment of knee osteoarthritis (KOA). Methods The clinical data of 40 patients with KOA lesions were retrospectively analyzed. Among the 40 patients, 20 were treated with ozone combined with proximal fibular osteotomy (observation group) and the others were treated with knee arthroplasty (control group). The total blood loss, blood transfusion, operation time, total hospitalization cost, postoperative complications, AKS score and VAS score at 1-6 months after operation were compared between two groups. Results All 40 cases were followed-up for 1-6 months. Statistical differences were found in the total blood loss, blood transfusion, operation time and total hospitalization cost between control group and observation group (P<0.05). There were few postoperative complications in both two groups. After operation, the AKS scores of two groups increased significantly, but VAS scores were decreased significantly, with statistical differences (P<0.05). No significant differences were found in AKS scores and VAS scores during postoperative follow-up (P>0.05). Conclusion In a short period of time, ozone combined with proximal fibular osteotomy can achieve a therapeutic effect close to that of knee arthroplasty. With the advantages of small joint injury, less bleeding, short operation time, low cost and so on, the combination of ozone and fibular osteotomy is more suitable for the treatment of knee osteoarthritis in basic-level hospitals.

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备注/Memo

备注/Memo:
 【收稿日期】2018-12-16
【基金项目】广西壮族自治区卫生和计划生育委员会课题（Z20170014）
【作者简介】李昱川，硕士，副主任医师，E-mail: 3484570760@qq.com
更新日期/Last Update: 2019-04-23