摘要
目的探讨关节镜手术治疗膝关节半月板损伤的临床疗效。方法对38例46个关节(左膝14例,右膝16例,双膝8例)半月板损伤的发生原因、损伤部位、损伤类型及在关节镜下手术治疗进行临床分析。结果38例术后随访6￣18个月,优13例14个关节,良19例22个关节,优良率占78.26%,可6例10个关节,占21.74%。结论半月板先天发育不良或半月板退变与膝关节应力变化是半月板损伤的成因;明确半月板损伤的部位和类型是手术治疗的前提;关节镜治疗半月板损伤的优势在于关节镜检查的准确性和关节镜手术的微创性;半月板损伤早作关节镜手术疗效好,晚做因关节继发病变影响疗效,只能改善关节疼痛症状,关节功能改善不够理想。
[Objective] To assess the effectiveness of treatment of meniscal injuries by arthroscope. [Methods] To statistic 38 patients （46 joints） including14 patients of left knees, 16 patients of right knee and 8 patients of two knees with meniscal injuries and comprehend the reason, parts, types and treatment under arthroscopy. [Results] 38 patients were followed up from six to eighteen months; 13 patients （14 joints ） were evaluated as excellent; 19 patients （22 joints） as good; the choiceness rate was 78.26%; 6 patients （10 joints ） as fair （21.74%）. [Conclusions] The bad congenital growth of meniscal or the mensical becoming aging and the change of force to the mensical are all the reasons of mensical injuries. To make sure the part and the type of the mensical injuries is the premise of treatment. The advantage of treating mensical injuries by arthroscopy are the correct result of examine by arthroscopy and little wound of arthroscopy operation. The operation treating mensical injuries with arthroscope has a good result in ill forepart. Belated operation can only improve symptoms, but functional improvement was not ideal because of other diseases that caused by mensical injuries.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第4期429-431,共3页
China Journal of Endoscopy
关键词
关节镜
半月板损伤
治疗
随访
arthroscopy
meniscal injuries
treatment
follow-up
