关节镜下同种异体半月板移植术中期随访报告

发布时间：2018-03-29 09:51

本文选题：关节镜　切入点：移植　出处：《重庆医学》2017年34期

【摘要】：目的探讨关节镜下同种异体半月板移植治疗半月板撕裂损伤的中期临床疗效。方法选取2011年5月至2014年5月,在该室采用关节镜下同种异体半月板移植治疗6例半月板撕裂损伤患者,其中男5例,女1例。年龄分别为36、37、39、41、42、45岁。4例外侧半月板移植,2例内侧半月板移植。随访包括患者术后关节症状及体征,Lysholm评分、膝关节X线片及磁共振(MRI)检查等。结果随访时间24~36个月,5例无关节疼痛、肿胀等,关节活动度正常。1例关节反复积液,效果不满意。MRI提示5例半月板存活良好,1例半月板退变严重。结论关节镜下同种异体半月板移植术后中期临床效果良好,可以显著缓解膝关节疼痛,是治疗半月板严重撕裂损伤较好的方法。
[Abstract]:Objective to investigate the medium-term clinical effect of meniscus allograft transplantation in the treatment of meniscus tear injury under arthroscopy. Methods May 2011 to May 2014 were selected. Arthroscopic meniscus allografts were used to treat 6 patients with meniscus tear injury, including 5 males. One female, aged 36 / 37, 41 / 42 / 45 years old respectively, 4 cases with lateral meniscus transplantation and 2 cases with medial meniscus transplantation. The follow-up included postoperative joint symptoms and signs and Lysholm score. Results during the follow-up period of 24 ~ 36 months, 5 cases had no joint pain, swelling, and normal range of motion. 1 cases had recurrent fluid accumulation. MRI showed that 5 cases of meniscus survived well and 1 case had severe meniscus degeneration. Conclusion the clinical effect of arthroscopic meniscus allograft transplantation in the middle stage is good and can significantly relieve the pain of knee joint. It is a better method to treat meniscus severe tear injury.
【作者单位】：湖北医药学院附属东风医院骨关节科;
【基金】：湖北省十堰市科学技术研究与开发项目(2013074)
【分类号】：R687.4

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