《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (08): 957-959.

• 特稿 • 上一篇    下一篇

全膝置换术中髌周神经部分去极化与全部去极化的临床效果对比

曹万军，朱绍灵，刘显东，唐承杰，郑金文，陈星宇，刘颖，肖鹏   

  1. 四川省骨科医院下肢科，四川成都市610041。作者简介：曹万军(1964-)，男，汉族，四川成都市人，副主任医师，主要研究方向：骨关节疾病。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-08-25 发布日期:2015-08-25

Comparision of Partially and Totally Depolarization of Peripheral Nerve in Total Knee Arthroplasty

AO Wan- jun, ZHU Shao- ling, LIU Xian- dong, TANG Cheng- jie, ZHENG Jin- wen, CHEN Xing- yu, LIU Ying, XIAO Peng   

  1. Sichuan Orthopedic Hospital, Chengdu, Sichuan 610041, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-08-25 Online:2015-08-25

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摘要： 目的比较全膝关节置换术(TKA)中髌周神经部分去极化及全部去极化的临床效果。方法TKA患者66 例(80 膝)分为髌周神经部分去极化组(A 组，42 膝)和全部去极化组(B 组，38 膝)。术前及术后3 个月、半年分别进行膝关节评分、髌骨评分、膝前疼痛评分。结果两组术前膝关节评分、髌骨评分、膝前疼痛评分均无显著性差异(P>0.05)；术后所有评分均改善(P<0.05)；但两组间仍无显著性差异(P>0.05)。结论髌骨周围神经部分去极化技术可减少术后膝前痛等，其效果与全部去极化技术相当。

关键词: 全膝关节置换术, 髌骨周围神经, 去极化

Abstract: Objective To compare the effects of peripatellar peripheral nerve partially and totally depolarized in total knee arthroplasty (TKA). Methods 66 TKA patients were divided into partially depolarized group (A, 42 knees) and totally depolarized group (B, 38 knees). The scores of knee-joint, Feller and Visual Analogue Scale were recorded. Results There was no significant difference in all the scores between 2 groups before operation (P>0.05). All the scores improved after operation (P<0.05), however, there was still no significant difference between 2 groups (P>0.05). Conclusion Patellar peripheral nerve partially depolarization technique can reduce postoperative knee pain, which has the same effect with totally depolarization.

Key words: total knee arthroplasty, patellar peripheral nerve, depolarization