关节镜术诊断和治疗军事训练前交叉韧带不完全损伤

发布时间：2018-06-20 20:52

  本文选题：关节镜术 + 军事训练　； 参考：《中国内镜杂志》2009年09期

【摘要】：目的探讨军事训练导致急性膝关节前交叉韧带(ACL)不完全损伤患者的关节镜术诊断意义和治疗方法。方法2003年3月～2006年8月收治军事训练导致的急性膝关节ACL不完全损伤患者30例,所有患者均早期行关节镜检查确诊,其中关节镜下射频皱缩术后保守治疗5例,I期行加强手术13例,Ⅰ期行重建手术12例,术后对所有病例观察随访,记录临床检查结果和Lysholm评分。结果术后随访8～16个月,平均12个月,膝关节主观和客观稳定性均明显改善,Lysholm评分从术前(40±5)分提高到术后(92±6)分(P0.01)。结论军事训练急性膝关节ACL不完全损伤患者早期应首选关节镜检查,以明确诊断,确定损伤程度。选择合理的治疗方法,Ⅰ期镜下修复或重建对早期恢复膝关节稳定有重要的临床意义。
[Abstract]:Objective to investigate the diagnostic significance and treatment of acute ACL incomplete injury caused by military training. Methods from March 2003 to August 2006, 30 patients with acute ACL incomplete injury caused by military training were treated. All the patients were diagnosed by arthroscopy early. Among them, 13 cases underwent enhanced surgery at stage I and 12 cases underwent reconstruction operation after arthroscopic radiofrequency retraction. All cases were followed up and the clinical examination results and Lysholm score were recorded. Results follow up for 8 ~ 16 months (mean 12 months) showed that the subjective and objective stability of knee joint were significantly improved from 40 卤5 before operation to 92 卤6 after operation (P 0.01). Conclusion Arthroscopy should be the first choice in the early stage of acute ACL incomplete injury in military training in order to make sure the diagnosis and the degree of injury. It is important for early recovery of knee joint stability to select reasonable treatment method and to repair or reconstruct the knee joint under stage 鈪，

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