电竞投注

7x24小时咨询电话
微信公众平台
满意度调查

膝关节骨关节炎的外科治疗

2017-06-05
点击数:14296     作者:北华大学附属医院

膝关节骨关节炎是关节外科常见的慢性关节疾患,具有患病率高、病变范围广、晚期功能障碍程度重等特点。调查结果显示,在40~60 岁的人群中,骨关节炎的患病率为10%~17%; 60岁以上人群中,骨关节炎的患病率达50%;而在> 75岁人群中, 80%患有骨关节炎。

电竞投注YINGGAISHUOMUQIANSHANGMEIYOURENHEZHILIAOFANGSHIKEYISHIGUGUANJIEYANDEBINGCHENGNIZHUANHETINGZHI,GUGUANJIEYANDEZHILIAOMUDESHIHUANJIETENGTONG,YANHUANBINGBIANFAZHAN;ZAOQIZHENGQUEDEZHILIAOKEYIMINGXIANXIAOCHUZHENGZHUANG,GAISHANGUANJIEGONGNENG,SHIJIBINGBUYINGXIANGHUANZHEDESHENGHUOZHILIANG;WANQIGUGUANJIEYANHUANZHE,YINGJIJICAIQUSHOUSHUZHILIAO,YIBIMIANGUANJIEYANZHONGJIXINGDEFASHENG。MUQIANDEZHILIAOZHUYAOCAIYONGJIETILIAOFA,JIZAOQICAIYONGFEIYAOWU(HUANZHEJIAOYU、WULIZHILIAO、JIROUXUNLIAN、TIZHONGKONGZHI、FUZHUZHIJUDENG)、YAOWUZHILIAO(GAISHANZHENGZHUANGYAOWU、GAISHANJIEGOUYAOWU),DANGHUANZHEYOUJIAOYANZHONGDECHIXUXINGTENGTONGJIMINGXIANDEGUANJIEHUODONGZHANGAI,BAOSHOUZHILIAOWUXIAO,YINGXIANGGONGZUOJISHENGHUOSHI,ZEKAOLVSHOUSHUZHILIAO,DUIYUZAO、ZHONGQIGUGUANJIEYANHUANZHE,KEZAIGUANJIEJINGXIAXINGGUANJIEQINGLISHU,XIAOGUOLIANGHAO。WANQICHUXIANJIXINGHUOCHIXUXINGTENGTONGSHI,KEGENJUHUANZHEJUTIQINGKUANGXUANZEGUANJIEZHOUWEIJIEGUSHUJIRENGONGGUANJIEZHIHUANSHU。NEIMENAXIEXIGUANJIEGUGUANJIEYANHUANZHESHIHEGUANJIEJINGSHOUSHUNI?TONGCHANGDIANJINGTOUZHUXUANZETENGTONGSHIJIANDUAN<3GEYUE;YOUNIUSHANGSHI;YOUMINGQUEDEJIXIEZHENGZHUANGRUKAGAN、JIAOSUOHUOHUANXISHENZHISHOUXIAN;GUANJIEJIYE、GUANJIEXIANYATONG、McMurrayZHENG(+);NEIFANJIXING< 10°,WAIFANJIXING< 15°。ZAISHIYINGZHENGXUANZEHESHIDEQINGKUANGXIAGUANJIEJINGZHILIAOXIGUANJIEGUGUANJIEYANHUIQUDEHUANJIEZHENGZHUANG、GAISHANGONGNENG、YANHUANBINGQINGFAZHANDELIAOXIAO。

电竞投注RENGONGGUANJIEZHIHUANSHUYONGYUYANZHONGDEGUXINGGUANJIEYAN;

SHANGXUFUHEYIXIABIAOZHUNCAISHIYIJINXINGRENGONGGUANJIEZHIHUANSHU:①GUANJIEMIANGUHERUANGUPOHUAIDEYINGXIANGXUEGAIBIAN;②YOUZHONGDUDAOZHONGDUCHIXUXINGTENGTONG;③JINGGUOZHISHAOBANNIANDEBAOSHOUZHILIAO,GONGNENGHETENGTONGWUFAGAISHAN。BAOSHOUZHILIAOZHISHAOYINGBAOKUO:FEIZAITILEIKANGYANYAOWUJIQITALEIXINGDEZHITENGYAOWU、LILIAO、ZHUXINGZHUANGZHI(SHOUZHANG、GUAIZHANGDENG)YIJIYOUYISHIDEJIANSHAOGUANJIEFUHEDESHENGHUO、GONGZUOXIGUANDEGAIBIAN;④HUANZHENENGGOUJIJIPEIHEYISHENGZHILIAO,YOULIANGHAODEYICONGXING;

电竞投注NIANLINGYIFEIRENGONGGUANJIEZHIHUANDEJUEDINGXINGYINSU。ZUICHU,SHOUXIANYUZAOQIDERENGONGGUANJIEJIATISHEJIJICAILIAOMOSUNXINGNENGDEXIANZHI,YIJISHOUSHUJISHUSHANGBUCHENGSHU,YIDURENWEIRENGONGGUANJIEZHIHUANZHISHIYONGYU65SUIYISHANGRENQUN。 DANSUIZHEGENGDUODEXINXINGNAIMOCAILIAOZAIRENGONGGUANJIEZHONGGUANGFANYINGYONG,SHOUSHUJISHUTEBIESHIFANXIUJISHUDEDAFUDUTIGAO,GEZHONGFANXIUJIATISHEJIRIQUWANSHAN,ERRENMENDUISHENGHUOZHILIANGDEYAOQIUYEBUDUANTIGAO,YUELAIYUEDUODEGAOLINGRENQUNHENIANQINGRENYINWEIYANZHONGDEGUANJIEJIBINGJIESHOURENGONGGUANJIEZHIHUANSHU。

CHENGGONGDEYAOSU(4PYAOSU)

电竞投注(1) (Patient Selection)BIXUXUANZEHESHISHIYINGZHENGDEHUANZHE

电竞投注RENGONGGUANJIEZHIHUANSHUJINGUANYIJINGHUODEHENDADECHENGGONG,DANRENGRANNANYIMANZUNIANQINGHUANZHEDAHUODONGLIANG,ZHANGQISHIYONGDEYAOQIU;DUIYUMOUXIEGAOLINGHUANZHE,QIBANSUIYOUQITAQIGUANDEYANZHONGJIHUAN,HUOZHENANYIPEIHEYISHENGJINXINGZAOQIDEGUANJIEGONGNENGKANGFU,YEBUSHIYUGUANJIEZHIHUAN。BAOZHENGHUANZHEANQUANYONGYUANSHIRENGONGGUANJIEZHIHUANSHUYAOKAOLVDEDIYIWEIDEWENTI。

HUANZHEBIXUJUBEIMANZUSHOUSHUYAOQIUDEQUANSHENZHUANGKUANGJILIANGHAODEJINGSHENZHUANGTAI,TONGSHIYAODUIRENGONGGUANJIEZHIHUANSHUYOUHELIDEYUQI。

(2) (Procedure)SHOUSHUCAOZUOJISHU

电竞投注RENGONGGUANJIEZHIHUANSHUDUIYISHENGDESHOUSHUCAOZUOJISHUYAOQIUHENGAO。

电竞投注SHOUXIANRENGONGGUANJIEZHIHUANSHUZHONGCHULEYAODUIGUANJIEDEBINGZAOJINXINGQIECHUYIWAI,XUYAOSHENKELIJIEGUANJIEDEYUNDONGXUEYUANLI,JIANGRENGONGGUANJIEDEJIATIANZHUANGZAIZHUNQUEDEWEIZHI,JINENGSHIJIATIHUODELIANGHAODEWENDINGXING,YOUNENGHUIFUGUANJIEDEZHENGCHANGYUNDONG。

电竞投注QICI,RENGONGGUANJIEZHIHUANSHUZHONGYAOSHIYONGDAODALIANGDEGONGJUQIXIE。YISHENGBIXUZHANGWOGONGJUQIXIEDESHEJIYUANLI,SHUXISHIYONGFANGFA,ZHEIJIUXUYAODALIANGDELILUNXUEXIHELINCHUANGSHIJIAN。ZAIWOGUO,HAIYOUYIGETEDIAN,JIDUOSHUHUANZHEZAIXUNQIUGUANJIEZHIHUANSHI,GUANJIEJIBINGYIZHIWANQI,CUNZAIYANZHONGDEGUANJIEJIXINGHEGUQUESUNDENGQINGKUANG。ZHEIGENGXUYAOYISHENGYOUZHASHIDELILUNJICHUJIFENGFUDELINCHUANGJINGYAN,CAINENGLINGHUODECHULISHOUSHUZHONGCHUXIANDEFUZAQINGKUANG。GUOWAIYOUYANJIUBIAOMING,NIANSHOUSHULIANGXIAOYU30LIDEYISHENGZHILIAODEHUANZHEGENGRONGYICHUXIANBINGFAZHENG。

(3) (Prosthesis Selection)JIATIXUANZE

电竞投注XUDUOHUANZHEJIANDANDELIJIEWEIRENGONGGUANJIEJIATI“YUEGUIYUEHAO,YUEXINYUEHAO”。

QISHIBURAN,SHOUXIAN,RENGONGGUANJIEJIATIXUYAOZAIRENTINEIZHANGQIFAHUIXIAONENG,ERXINDEJIATIWANGWANGJINZAISHIYANSHINEIJINGGUOMONICESHI。JINGUANSHIYANSHUJUBIAOMINGKEYISHIYONGJIAOZHANGSHIJIAN,DANYOUYURENTIHUANJINGJIQIFUZA,GUANJIEJIATINENGFOUZAIRENTINEIFAHUIZHANGQIXIAONENGZECUNZAIYIWEN,XUYAOSHIJIANJIANYAN。

QICI,RENGONGGUANJIEJIATIZHONGLEIFANDUO,QISHEJIDEJIEPOUXUESHUJULAIZIYUBUTONGZHONGZUDERENQUN,CHUZHONGSHIZHENDUIBUTONGLEIXINGJIBINGDEHUANZHE,YINCIGUIDEJIATI、XINDEJIATIWEIBISHIZUISHIHENINDEJIATI。

电竞投注ZAIZE,YISHENGDUIYUJIATIDESHUXICHENGDUYEZAIHENDACHENGDUSHANGJUEDINGLELINCHUANGDEJIEGUO,YIZHONGXINDEJIATI,KENENGGANGGANGJINRUDAOLINCHUANGSHIYONG,YISHENGHAIQUEFASHIJIANJINGYAN,DUIYUJIATIDETEXINGKENENGHAIBUSHUXI,FANERHUIYANZHANGSHOUSHUSHIJIAN,ZENGJIASHUHOUBINGFAZHENG。

电竞投注YINCI,GENGWEIZHUNQUEDELIJIESHI,“MEIYOUZUIHAODEJIATI,ZHIYOUZUISHIHENIDEJIATI”。

电竞投注(4) (Peri-operation Management)WEISHOUSHUQIGUANLI

YILIRENGONGGUANJIEZHIHUANSHUDECHENGGONG,SHIYIGETUANDUIGONGTONGNULIDEJIEGUO。SHOUSHUYISHENGZAIQIZHONGBANYANZHUYAOJIAOSE,ERMAZUISHI、NEIKEYISHENG、HUSHI、KANGFUSHIDENGTONGYANGZHONGYAOERBUKEHUOQUE。XIFANGFADAGUOJIADERENGONGGUANJIEZHIHUANSHUYIJINGFEICHANGCHENGSHU,YINCIZAIRENGONGGUANJIEZHIHUANDEYILIAOZHONGXINXINGCHENGLEYIGEWENDINGDETUANDUI,DUIYUXUYAOJINXINGRENGONGGUANJIEZHIHUANDEHUANZHECAIYONGBIAOZHUNHUADECHULILIUCHENG。ZHEIDADATIGAOLESHOUSHUDEANQUANXINGHECHENGGONGLV,YESUODUANLEHUANZHEDEZHUYUANSHIJIANJIJIANGDILEHUANZHEDEYILIAOZHICHU。

电竞投注WEISHOUSHUQIGUANLISHEJIHUANZHESHUQIANQUANSHENZHUANGKUANGDEPINGGU,MAZUIPINGGUJICAOZUO,SHUZHONGSHOUSHUYISHENGJIQIXIEHUSHIDESHULIANPEIHE,SHUHOUZHITENG,KANGGANRAN,KANGFUDENGZHUDUOFANGMIAN。

电竞投注CHENGGONGDERENGONGGUANJIEZHIHUANSHUYISHANGSIGEYAOSUQUEYIBUKE。