钬激光在关节镜手术中的应用  

The use of the Ho:YAG laser in arthroscopic surgery

作　　者：杜莉如[1] 谷国良[1] 陈晓欣[1] 王彬 

机构地区：[1]北京医科大学人民医院骨关节病研究中心

出　　处：《中华外科杂志》1995年第10期591-593,共3页Chinese Journal of Surgery

摘　　要：１９９３年５月～１９９４年４月，作者用钬激光在关节镜下手术共７２例（８４个关节），其中双膝１２例，肩、时、腕、踝关节各１例。分别进行了半月板部分切除、关节软骨成形、滑膜部分切除、关节清理及髌外侧支持带松解术。所需能量从１至１２ｋＪ不等，与操作复杂性有关。手术时间为５～３０分钟。术后随访６～１６个月，患者术后１～２周后恢复行走，无功能受限，有２例关节积液。Abstract From May 1993 to April 1994 we had performed72 cases(total 84 joints ) of arthroscopic operationswith holmium laser. It included 12 bilateral knees,andsingle joints in the shoulder,elbow,wrist and andkle.We performed partial menisectomy,chondroplasy,par-tial synovectomy and lateral retinacular release。Theenergy used was from 1 to 12kJ depending the com-plexity of the operations,All these cases had been fol-lowed up 6 to 16 months。The function of the iointswas good,only two cases had joint effusion。The rateof good and excellent results was 97%。

关 键 词：钬激光 关节镜术 膝关节 半月板切除 关节软骨 

分 类 号：R684.05[医药卫生—骨科学] R687.4[医药卫生—外科学]