doi:10．3969/j．issn．1008-0287．2023．03．015·临床论著·单髁膝关节置换与全膝关节置换治疗膝骨关节炎的疗效比较王小挺1，尹雪童2，艾尔西丁·阿不来提1摘要:目的比较单髁膝关节置换(UKA)和全膝关节置换(TKA)治疗膝骨关节炎(KOA)的疗效。方法将50例KOA患者按照手术方式不同分为UKA组(采用UKA治疗，25例)和TKA组(采用TKA治疗，25例)。记录两组术中出血量、并发症发生情况、膝关节活动度、疼痛缓解情况。采用HSS评分评价膝关节功能。结果患者均获得12个月随访。两组术后3、12个月的膝关节活动度及术后12个月的HSS评分均明显优于术前(P＜0.05)。术中出血量及术后3、12个月的膝关节活动度UKA组均明显优于TKA组(P＜0.05)。术后并发症发生率及术后12个月的HSS评分、疼痛缓解优良率两组比较差异均无统计学意义(P＞0.05)。结论采用UKA和TKA治疗KOA临床疗效均满意，但UKA在术中出血量、术后膝关节活动度方面更具优势。关键词:膝骨关节炎;单髁膝关节置换;全膝关节置换中图分类号:Ｒ684.3;Ｒ687.4文献标识码:A文章编号:1008－0287(2023)03－0351－04Comparisonofcurativeeffectofunicompartmentalkneearthroplastyandtotalkneearthro-plastyinthetreatmentofkneeosteoarthritisWANGXiao-ting，YINXue-tong，AierxidingAbulai-ti(SectionⅡ，DeptofTraumatology，theSixthAffiliatedHospitalofXinjiangMedicalUniversity，Uru-mqi，Xinjiang830002，China)Abstract:ObjectiveTocomparetheefficacyofunicompartmentalkneearthroplasty(UKA)andtotalkneearthro-plasty(TKA)inthetreatmentofkneeosteoarthritis(KOA)．MethodsThe50patientswithKOAweredividedintoUKAgroup(25casesweretreatedwithUKA)andTKAgroup(25casesweretreatedwithTKA)．Theintraoperativebleedingvolume，complicationsincidencesituation，kneerangeofmotion(ＲOM)andpainreliefconditionwererecor-ded．HSSscorewasusedtoassessthekneejointfunction．ＲesultsAllpatientswerefollowedupfor12months．KneeＲOMat3，12monthspostoperationandHSSscoreof12monthspostoperationweresignificantlybetterthanthepreop-eration(P＜0.05)．Theintraoperativebloodloss，kneeＲOMat3，12monthspostoperationinUKAgroupweresignifi-cantlybetterthanthoseinTKAgroup(P＜0.05)．Therewerenosignificantdifferencesintheincidencerateofpost-operativecomplications，HSSscoreatpostoperative12...
