[1]张二瑞,黄遂柱.膝关节骨性关节炎诊断及治疗的研究[J].医学信息,2021,34(12):58-60.[doi:10.3969/j.issn.1006-1959.2021.12.016]
 ZHANG Er-rui,HUANG Sui-zhu.Diagnosis and Treatment of Knee Osteoarthritis[J].Medical Information,2021,34(12):58-60.[doi:10.3969/j.issn.1006-1959.2021.12.016]
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膝关节骨性关节炎诊断及治疗的研究()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
58-60
栏目:
综述
出版日期:
2021-06-15

文章信息/Info

Title:
Diagnosis and Treatment of Knee Osteoarthritis
文章编号:
1006-1959(2021)12-0058-03
作者:
张二瑞黄遂柱
(1.河南中医药大学第一临床医学院,河南 郑州 450000; 2.郑州颐和医院骨三科,河南 郑州 450000)
Author(s):
ZHANG Er-ruiHUANG Sui-zhu
(1.The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450000,Henan,China; 2.The Third Department of Orthopedics,Zhengzhou Yihe Hospital,Zhengzhou 450000,Henan,China)
关键词:
膝关节骨性关节炎慢性退行性关节病变骨质增生
Keywords:
Knee osteoarthritisChronic degenerative joint diseaseBone hyperplasia
分类号:
R684.3
DOI:
10.3969/j.issn.1006-1959.2021.12.016
文献标志码:
A
摘要:
膝关节骨性关节炎是一种慢性退行性关节病变,该病初期以保守治疗为主,如理疗、药物治疗;晚期症状严重,保守治疗效果差则需手术治疗。因此明确膝关节骨性关节炎的诊断和治疗方法,并根据具体病情为膝关节骨性关节炎患者制定有效、科学的治疗方案对改善患者预后具有重要意义。本文就膝关节骨性关节炎的发病机制、影像学诊断及治疗方法作一综述,以期为膝关节骨性关节炎诊疗提供理论支持。
Abstract:
Knee osteoarthritis is a kind of chronic degenerative joint disease, in the early stage of the disease, conservative treatment is given priority to, such as physical therapy and drug treatment; in the later stage, the symptoms are severe and the conservative treatment effect is poor, and surgical treatment is required.Therefore, clarifying the diagnosis and treatment of knee osteoarthritis, and formulating effective and scientific treatment plans for patients with knee osteoarthritis according to the specific condition is of great significance to improve the prognosis of patients.This article reviews the pathogenesis, imaging diagnosis and treatment of knee osteoarthritis, in order to provide theoretical support for the diagnosis and treatment of knee osteoarthritis.

参考文献/References:

[1]Ayala-Mejias JD,Garcia-Gonzalez B,Alcocer-Perez-Espana L,et al.Relationship between Widening and Position of the Tunnels and Clinical Results of Anterior Cruciate Ligament Reconstruction to Knee Osteoarthritis:30 Patients at a Minimum Follow-Up of 10 Years[J].J Knee Surg,2017,30(6):501-508. [2]王斌,邢丹,董圣杰,等.中国膝骨关节炎流行病学和疾病负担的系统评价[J].中国循证医学杂志,2018,18(2):134-142. [3]颜贻站,曾云记,谢作完,等.农村50岁以上5016人退行性膝关节病流行病学调查[J].浙江中西医结合杂志,2007,17(7):422. [4]欧阳莉,陈彩红.温针灸与中频电治疗膝痹的临床对比研究[J].医学理论与实践,2020,33(13):2150-2152. [5]郭运岭,李蕊,张拓.膝痹病与腰痛病的相互影响及相关性临床分析[J].中医药学报,2019,47(2):68-71. [6]刘海勇.单髁置换术与微创全膝关节置换术治疗老年膝关节骨性关节炎的临床效果[J].临床医学研究与实践,2020,5(5):65-67. [7]李能,廖瑛,廖源,等.伊班膦酸钠对大鼠膝骨关节炎关节软骨及软骨下骨的影响[J].中国骨质疏松杂志,2017,23(1):78-83. [8]康志毅.X线平片和MRI检查在膝关节骨性关节炎诊断中的价值分析[J].深圳中西医结合杂志,2015,25(4):51-53. [9]胡小丽,陈霞,黄霓,等.X线、高频超声、MRI检查对早期类风湿关节炎膝关节炎的诊断效能[J].山东医药,2018,58(39):52-54. [10]胡炜,邹鸿星,杨淮河,等.膝关节类风湿性关节炎与骨关节炎的临床异同点及MRI影像学表现分析[J].中国CT和MRI杂志,2017,15(1):134-136. [11]李显,赵力,王淑丽,等.骨性关节炎患者膝关节软骨损伤的关节镜与MRI诊断分级研究[J].中国矫形外科杂志,2017,25(1):29-32. [12]王波,余楠生.膝骨关节炎阶梯治疗专家共识(2018年版)[J].中华关节外科杂志(电子版),2019,13(1):124-130. [13]陈建洪,吴桂红,邓莎.艾瑞昔布片治疗退行性膝关节炎的临床疗效观察[J].临床合理用药杂志,2016,9(16):38-39. [14]谢辉,王本杰,傅维民,等.关节镜术中使用富血小板血浆联合玻璃酸钠治疗膝关节骨关节炎的效果评价[J].中国临床医生杂志,2020,48(3):325-328. [15]张冲,张陆,姜岩,等.关节镜下清理术合钻孔减压术治疗膝关节骨性关节炎的效果分析[J].实用中西医结合临床,2020,20(3):23-24,73. [16]杨健,庞显伦,何江孟.软骨移植与软骨微骨折方法修复关节软骨损伤[J].中国组织工程研究,2015(15):2315-2319. [17]王迅.膝关节骨性关节炎关节镜下清理术与全程康复的疗效分析[J].中外医学研究,2017,15(25):36-37. [18]梁慧,王小铁,靳江涛.胫骨高位截骨术治疗膝骨关节炎并膝内翻体会[J].实用骨科杂志,2011,17(8):704-706. [19]Clouthier AL,Hassan EA,Brandon SCE,et al.Identification of good candidates for valgus bracing as a treatment for medial knee osteoarthritis[J].J Orthop Res,2018,36(1):351-356. [20]徐永升,赵华磊,费学良.腓骨近端截骨术治疗膝关节骨关节炎的疗效分析[J].系统医学,2019,4(3):83-85. [21]Matsumoto T.Anti-tuberculosis therapy and paradoxical response when tuberculosis develops under the influence of biologics for rheumatioid arthritis[J].Kekkaku,2015,90(11-12):707-713. [22]卢明峰,钟露斌,李泽晖,等.牛津单髁置换术与全膝关节置换术治疗膝内侧单间室骨关节炎的近期疗效对比研究[J].中华骨与关节外科杂志,2016,9(6):476-479,503. [23]Morris MJ,Molli RG,Berend KR,et al.Mortality and perioperative complications after unicompartmental knee arthroplasty[J].Knee,2013,20(3):218-220. [24]谭彪,左彪,黄勇.单髁与全膝关节置换治疗膝关节单间室骨关节炎的平衡功能评价[J].中国组织工程研究,2020,24(6):827-832. [25]官建中,周建生,肖玉周,等.腓骨近端截骨与膝关节表面置换治疗膝关节骨关节炎早期疗效的自身对照研究[J].中华解剖与临床杂志,2016,21(2):129-132. [26]周建华,吴祖亮,胡锐明.人工全膝关节置换术治疗晚期膝关节骨性关节炎的疗效[J].中国实用医药,2020,15(18):87-89. [27]尚益峰.全膝关节置换术治疗膝关节骨关节炎效果观察[J].河南外科学杂志,2020,25(1):117-118. [28]冯宾,翁习生,林进,等.固定平台全膝关节置换术后10年以上临床随访研究[J].中华骨科杂志,2013,33(5):487-494.

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更新日期/Last Update: 1900-01-01