摘要
目的探讨关节镜微创手术治疗膝关节半月板损伤的临床疗效。方法收集在该院确诊为半月板损伤的患者共92例。首先在关节镜下确定半月板的性质和撕裂的类型、范围后,行关节镜微创手术治疗。术后进行膝关节功能锻炼,并分别在入院与术后1个月、1年行膝关节活动范围测量。结果 92例均获随访,时间为1～36个月,平均9个月。按Lysholm膝关节功能评分标准:术前评分为(43.1±8.6)分,术后24个月时为(81.9±4.7)分,术前术后评分比较差异有显著性(P<0.01)。术后疗效评定:优74例,良15例,尚可3例,无差病例。结论关节镜微创手术治疗膝关节半月板损伤具有创伤小、恢复快、疗效佳、安全性较高等优点,且能最大程度保留半月板并可进行早期功能锻炼,恢复膝关节功能。因此值得临床进一步研究及应用。
[Objective] To investigate the clinical efficacy of minimally invasive surgery treatment of meniscus injuries under arthroscope. [Methods] The diagnosed 92 cases of patients with meniscus injury were collected in our hospital. The type of tear nature and range in arthroscopic meniscus was first identified and minimally invasive arthroscopic surgery was done. The function exercise of the knee was started next day after operation. And the range of motion （ROM） of the knee was measured at first day in the hospital, one month and one year after operation, respectively. [Results] All the patients were followed up from 1 to 36 months,averaged 9 months. Under the Lysholm score system, the scores of pre-operation were （43.1±8.6） and 24 months after operation were （81.9±4.7） with significant difference （P 0.01）. The results were 74 cases excellent, 15 cases good, 3 cases fair and poor in none cases. [Conclusion] Minimally invasive arthroscopic surgery for knee meniscus injury has the advantages of minimal invasion, high security, quick recovery and good therapeutic efficacy. It can also reserve the tissue of meniscus, and early functional exercise can restore the function of the injured knee, and can be regarded as one of the operational options.
出处
《中国内镜杂志》
CSCD
北大核心
2013年第2期191-194,共4页
China Journal of Endoscopy
关键词
关节镜
膝关节
半月板损伤
arthroseopy
knee joint
meniscus injurie
