关节镜下囊内改良清理术治疗创伤性髌前滑囊炎12例报道

发布时间：2018-08-22 19:26

【摘要】：目的:探讨关节镜下囊内改良清理术治疗创伤性髌前滑囊炎的方法及疗效。方法:2013年2月~2015年6月,采用关节镜下囊内清理术治疗髌前滑囊炎12例,其中男10例,女2例。在关节镜监视下,先用椎板刮匙地毯式搔刮滑囊前后壁滑膜层,再利用刨削器进行彻底清理,冲洗止血后,局部加压包扎,术后伸膝位石膏固定2周,2周后行膝关节屈伸功能锻炼。结果:术后随访12例,随访时间2~24个月,所有病例均无感染及复发,无局部皮肤感觉障碍,无膝关节功能障碍。结论:利用关节镜下囊内清理术治疗髌前滑囊炎,方法简单、经济,疗效确切,并发症少。
[Abstract]:Objective: to investigate the treatment of traumatic prepatellar bursitis by arthroscopic intracapsular modified debridement. Methods: from February 2013 to June 2015, 12 cases of prepatellar bursitis were treated with arthroscopic intracapsular debridement, including 10 males and 2 females. Under arthroscopic surveillance, the synovium layer of the anterior and posterior wall of the skid sac was first scratched with a laminar curette, then thoroughly cleaned up by a planer, then washed and stopped bleeding, then locally pressurized and bound. Knee flexion and extension function were performed after 2 weeks of plaster fixation. Results: 12 cases were followed up for 2 ~ 24 months. There was no infection or recurrence, no local dermatosensory disturbance and no knee joint dysfunction. Conclusion: the treatment of prepatellar bursitis by arthroscopic intracapsular debridement is simple, economical, effective and less complication.
【作者单位】：成都军区总医院骨科;

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