摘要
Abstract
Objective To investigate the clinical effect of arthroscopic and incision in the treatment of rheumatoid arthritis. Methods 86 cases of patients with rheumatoid arthritis of the knee in our hospital from October 2009 to Oc-tober 2011 were divided into incision group (43 cases) treated by open surgical synovectomy and the arthroscopic group (43 cases) treated by arthroscopic synovectomy.The hospitalization time,blood loss,postoperative functional exercise time were analysed.All patients were followed up for 6-24 months and the recovery of knee function were compared by using the HSS score. Results The exercise recovery time,the average length of stay in arthroscopic group was shorter than that of the incision group,and the mean blood loss was less than that of the incision group,the difference was significant (P<0.05).Followed up for 6-24 months,excellent rate of arthroscopic group and incision group was 80.00% and 83.67%respectively,the difference of knee function recovery between the two group was not significant (P>0.05). Conclusion Arthroscopic and incision surgery can effectively recover joint function,is an effective method for the treatment of rheumatoid arthritis.Compared with incision surgery,the arthroscopic surgery has advantage of less trauma,less bleeding, shorter hospitalization time and patients should be preferred arthroscopy if they adapt to arthroscopic surgery.关键词
关节镜/切开术/类风湿性关节炎Key words
Arthroscopic/Incision surgery/Rheumatoid arthritis分类
医药卫生
