摘要目的 探讨关节镜辅助下富血小板血浆联合髓芯减压术治疗膝关节骨髓水肿综合征的临床疗效。方法 本研究纳入2020年7月至2021年6月新疆维吾尔自治区人民医院收治的13例膝关节骨髓水肿综合征患者,其中男9例,女4例;年龄48~57岁,平均(52.2±2.4)岁。术前通过膝关节负重位正侧位X线片及MRI明确诊断。采用西安大略和麦克马斯特大学(the Western Ontario and McMaster Universities,WOMAC)功能评分及疼痛视觉模拟评分(visual analog score,VAS)评价疗效,术后记录MRI股骨髁信号恢复正常所需的时间。结果 患者术后均获得1年以上随访。13例患者术中、术后未发生骨折、过敏反应、肺栓塞等并发症,术后3个月骨髓水肿病灶已恢复正常。WOMAC评分术后1、3、12个月持续降低,差异有统计学意义(P<0.05)。VAS评分术后1、3个月较术前持续降低(P<0.05),术后12个月与术后3个月比较差异无统计学意义(P>0.05)。结论 关节镜辅助下富血小板血浆联合髓芯减压术治疗膝关节骨髓水肿,可缓解疼痛、改善膝关节功能,是一种综合安全有效的方法。
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