摘要
作者在１９９４年７月～１９９６年１２月６日行膝关节镜下钬激光半月板手术９４例（９７例次）。其中瓣状裂２７例次，横裂１０例次，桶柄裂１６例次，纵裂１４例次，不规则裂１３例次，盘状半月板１７例次。结果优良率９４％。钬激光通过其光热作用，对损伤半月板汽化、切割、修整。作者应用大功率８０瓦特钬激光，其传递系统优良，有各种角度，可以达到关节各个间隙，尤其狭窄半月板后角部分，再加上Ｍｏｓｅｓ现象，切割准确、速度快，对靶组织周围组织无副损伤。本组９４例无１例术后滑膜反应积液者。认为钬激光为关节镜下切割半月板理想手术工具，打破了传统医用激光（ＣＯ２、Ｎｄ－ＹＡＧ）在８０年代１０年间踏步不前状态。
Ninety-seven meniscectomies in 94 patients were performed under the arthroscope by Ho: YAG laser.Of those, 27 menisci were flap tears, 10 were transverse tears, 16 were bucket-handle tears, 14 were longitudinal tears and 13 were irregular tears. The results showed that 94% of the patients had very satisfactory outcomes. Ho: YAG laser vaporizes, cuts and repairs torn menisci through its photo thermal effects. Its excellent delivery systems have a wide range angle and so can enter each articular space, especially the narrow posterior meniscal horn, These features along with “moses” phenomenon ensure the laser to cut precisely, quickly without causing injury to surrounding tissues. None of our 94 cases experienced synovitis or hydrarthrosis postoperatively. In our experience, Ho: YAG laser is the most effective tool in cutting menisci under the arthroscope.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1998年第4期206-208,I001,共4页
Chinese Journal of Orthopaedics
