关节镜下手术治疗盘状半月板的疗效及其影响因素分析

发布时间：2019-04-03 14:28

【摘要】：目的:回顾性研究关节镜下手术治疗盘状半月板的长期结果;从性别、症状持续时间、手术时年龄、盘状半月板类型、半月板损伤类型等多个方面分析影响手术结果的因素。方法:回顾性分析2008~2013年期间于我院手术治疗的97例106膝盘状半月板。平均随访时间27.3±18.8个月。主要手术方式包括半月板修整成形术、修整成形+固定术和半月板全切术。记录随访末期Lysholm评分、IKDC评分、Tegner运动评分及VAS疼痛评分;手术结果按照Ikeuchi分级标准进行分级。结果:所有病例随访期手术结果 Ikeuchi分级为:优64膝(60.4%),良27膝(25.5%),可10膝(9.4%),差5膝(4.7%);总体优良率达85.9%。手术时的年龄及术前症状持续时间对手术结果有影响,而患者性别、盘状半月板类型、半月板损伤类型、手术方式均无明显影响。结论:关节镜下手术治疗盘状半月板,年轻患者及早期手术治疗患者的疗效较好,建议对盘状半月板损伤应尽早行关节镜下手术治疗。
[Abstract]:Aim: to study the long-term results of arthroscopic surgical treatment of discoid meniscus, and to analyze the factors influencing the outcome of the operation from the aspects of sex, duration of symptoms, age during operation, type of discoid meniscus and meniscal injury. Methods: 97 cases (106 knees) of discoid meniscus treated in our hospital from 2008 to 2013 were analyzed retrospectively. The mean follow-up time was 27.3 卤18.8 months. The main surgical methods include meniscus repair, repair and fixation, and total meniscectomy. The Lysholm score, IKDC score, Tegner motor score and VAS pain score were recorded at the end of follow-up, and the surgical results were graded according to the Ikeuchi classification standard. Results: the Ikeuchi classification of all cases was excellent in 64 knees (60.4%), good in 27 knees (25.5%), fair in 10 knees (9.4%) and poor in 5 knees (4.7%), and the overall excellent and good rate was 85.9%. The age at the time of operation and the duration of symptoms before operation had an effect on the outcome of the operation, but the gender, type of discoid meniscus, type of meniscus injury and operation mode had no significant effect on the outcome of the operation. Conclusion: arthroscopic surgery in the treatment of discoid meniscus, young patients and early surgical treatment of patients is better. It is suggested that arthroscopic surgery should be performed as soon as possible for discoid meniscus injury.
【作者单位】：四川大学华西医院;
【分类号】：R87

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