关节镜下清理并半月板切除治疗合并膝骨关节炎的半月板损伤

发布时间：2018-05-11 23:31

本文选题：半月板损伤 + 骨关节炎　；参考：《中国内镜杂志》2017年05期

【摘要】：目的探讨关节镜下清理并半月板切除治疗合并早、中期膝关节骨关节炎(KOA)的中、重度半月板损伤的疗效。方法选取2011年10月-2014年10月该科156例合并有早、中期KOA的中、重度半月板损伤患者,行关节镜下清理并半月板切除术。术前对所有患者行Lysholm膝关节功能评分,常规行膝关节正侧位、髌骨轴位、双下肢全长站立位X片和患膝磁共振成像(MRI)检查,明确KOA诊断和临床分期以及半月板损伤诊断和分级。所有患者均在全麻下行关节镜下关节清理并半月板切除术。术后积极行患肢康复训练,术后7~10天出院,出院后佩戴护膝负重行走。采用门诊复诊或电话方式对患者进行随访。结果所有患者均无围手术感染、化脓性关节炎等严重围手术期并发症;术后随访6~12个月,平均10.9个月。Lysholm膝关节功能评分术后(87.3±7.9)明显优于术前(67.5±4.9)(P0.05)。结论关节镜下清理并半月板切除治疗合并早、中期KOA的中、重度半月板损伤,创伤小、恢复快、近期疗效良好。
[Abstract]:Objective to evaluate the efficacy of arthroscopic debridement and meniscectomy in the treatment of moderate and severe meniscus injury in patients with early and intermediate knee osteoarthritis. Methods from October 2011 to October 2014, 156 patients with moderate or severe meniscus injury complicated with early and intermediate KOA were treated with arthroscopic debridement and meniscectomy. All the patients were assessed with Lysholm knee function before operation, the knee joint was performed in the anteroposterior position, the patellar axial position, the full-length standing position of both lower extremities and MRI. The diagnosis and clinical stage of KOA and the diagnosis and grading of meniscus injury were determined. All patients underwent arthroscopic debridement and meniscectomy under general anesthesia. The patients were discharged from hospital 7 ~ 10 days after the operation and walked with knee support. The patients were followed up by follow-up or telephone. Results all the patients had no perioperative infection or severe perioperative complications such as suppurative arthritis, and the postoperative follow-up was 6 ~ 12 months (mean 10.9 months). Lysholm knee function score was 87.3 卤7.9 after operation, which was significantly better than that before operation (67.5 卤4.9). Conclusion arthroscopic debridement and meniscectomy combined with early and intermediate stage KOA with moderate and severe meniscus injury have the advantages of small trauma, quick recovery and good short-term curative effect.
【作者单位】：中南大学湘雅医院运动医学科(中南大学运动医学研究中心);
【分类号】：R687.4

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