摘要
目的 探讨关节镜对膝骨性关节炎诊断的意义及临床疗效。 方法 回顾分析 1993年 5月～ 1999年 9月采用关节镜治疗不同程度膝骨性关节炎 75例、85膝。对X线片与关节镜下发现进行对比分析。 结果 随访 (16-92 )月 ,平均 5年 ,术后评分平均提高 3 5 7分 ,效果满意 ,无严重并发症。 结论 病变越重 ,X线与关节镜诊断符合率越高 ,反之越低 ;X线对病变部位反映较准确 ,对病变程度反映较差。 5 0 %的中晚期病人合并有半月板病变。合并半月板病变与疗效无关。
Objective To study the values of arthroscopy in the diagnosis and treatment of knee osteoarthritis. Methods A retrospective survey of 75 patients with knee osteoarthritis treated by arthroscopic operation from May 1993 to Sep 1999 was conducted.the Tindings by radiograph and those in operation were compaired. Results The average follow-up period was nearly 5 years.The scale improved 35.7 after operation.No serious complication arose. Conclusions The more severe the condition, the more consistent radiographic diagnosis is with arthroscopic findings.Radiography reflects the site of the lesion better.50% of the patients at the intermediate and late stage have meniscal lesions.It seems that meniscal lesion does not affect surgical results;having loose body indicates better results.
出处
《中国微创外科杂志》
CSCD
2002年第3期173-175,共3页
Chinese Journal of Minimally Invasive Surgery
