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采用关节镜清理术治疗膝骨关节炎,临床应用较多,关节镜手术清除了软骨坏死组织和炎症因子,恢复了正常滑液的分泌,改善了软骨的营养供给[1]。另外,术中切除或修整破裂的半月板,去除影响关节活动的骨赘,纠正了关节的功能紊乱,极大地缓解了膝痛症状,改善了关节功能。尽管如此,手术仍不能有效解决软骨的修复,消除畸形,部分患者于术后仍遗留关节疼痛、压痛、肿胀、活动受限及行走困难、股四头肌萎缩等症。
Arthroscopic debridement treatment of knee osteoarthritis, clinical application of more arthroscopic surgery to clear the cartilage necrosis and inflammatory cytokines, restore normal synovial fluid secretion and improve the nutritional supply of cartilage [1]. In addition, intraoperative resection or repair of the ruptured meniscus, removal of osteophytes affect joint activity, correct the joint dysfunction, greatly relieve the symptoms of knee pain, improve joint function. Nevertheless, surgery still can not effectively solve the cartilage repair, eliminate deformity, some patients still left after the joint pain, tenderness, swelling, limited mobility and walking difficulties, quadriceps atrophy embolism.