关节镜下手术治疗盘状半月板损伤22例报告  

Arthroscopic Treatment of 22 Cases of Discoid Lateral Meniscus

作　　者：徐屹[1] 徐文华[1] 戴闽[1] 宗世璋[1] 马勇[1] 雷刚刚[1] 

机构地区：[1]江西医学院第一附属医院骨2科,江西南昌330006

出　　处：《江西医学院学报》2005年第3期107-109,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的探讨盘状半月板损伤的机制、特点和诊治。方法对22例盘状半月板损伤患者行关节镜下手术治疗。据术中情况分别予部分切除成形、次全切除和全切除。结果随访2～4个月,22例患者中,优21例,占95.5%;良1例,占4.5%。结论盘状半月板损伤的机制与其解剖特征和组织学构成有关,关节镜下治疗的原则是保留一个外形和厚度接近正常,边缘稳定、光滑的半月板组织。Objective To investigate the mechanism,feature,evaluation and treatment of discoid lateral meniscus injuries.Methods Tweenty-two cases(22 knees) of discoid lateral meniscus were treated by arthoscopy:part excision,reshaping,subtotal excision and total excision respectively according to conditions of operations.Results All patients were followed up for 2～4 m and all them showed an excellent results except 1 patient whose knee was pain by chance without influencing normal living.Conclusion The injuries of discoid lateral meniscus are associated with character of anatomic and histological construction.The remnant meniscus is preserved and reshaped to produce the similar appearance to the normal lateral meniscus in terms of width and thickness.It is trimmed to have a balanced and smooth rim of meniscus tissue.

关 键 词：关节镜检查 半月板 损伤 

分 类 号：R648[医药卫生—外科学]