摘要
目的探讨膝关节半月板桶柄样损伤的关节镜手术治疗效果和手术技巧。方法2006年10月1日至2007年9月30日对31例34膝关节半月板损伤患者在进行关节镜探查手术时，被确定为半月板桶柄样损伤，12例为内侧半月板，19例为外侧半月板，其中3例为双侧外侧半月板损伤。本组术前患者往往存在膝关节疼痛、弹响或跛行等症状，MRI检查有助于术前分类诊断。其中25例行半月板部分切除成形术，5例因边缘撕裂行半月板次全切除术，1例行半月板缝合术。对这些患者的临床表现特点进行总结，并随访关节镜手术的近期疗效。结果所有病例术后随访症状均明显改善或消失，无术后并发症。本组Lysholm膝关节功能评分从术前35～62分，平均（41．7±4．1）分，术后6个月提高到86～100分，平均（95．6±3．3）分（t=24．52，P〈0．01）。结论膝关节半月板桶柄样损伤患者症状明显，关节镜手术治疗效果良好，并发症少。
Objective To observe the effect of arthroscopic meniscectomy for the treatment of symptomatic meniscus and the important of surgical technique. Methods Arthroscopic meniscectomy was performed on 31 patients（34 knees） with symptomatic meniscus. Partial meniscectomy was performed on 25 patients, subtotal meniscectomy on 5 patients with tear on edge of meniscus,and meniscus sutura on 1 patient. Results The operations on all 31 knees were successful without complications. The mean Lysholm score was 95.6±3.3（86-100） during the follow-up, which was significantly higher than that before the operation（41.7±4.1, range 35-62 ;P〈0.01）. Conclusion Arthroscopic menisceetomy is a successful treatment of symptomatic meniscus.
出处
《重庆医学》
CAS
CSCD
2008年第19期2142-2143,2261,共3页
Chongqing medicine
