膝关节镜下青少年盘状半月板损伤的诊治和疗效分析  

Arthroscopic management of discoid meniscu

作　　者：周宇[1] 许建中[1] 李广贤[1] 

机构地区：[1]郑州大学第一附属医院骨科,450052

出　　处：《中国实用医刊》2010年第3期36-37,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨膝关节镜下青少年盘状半月板损伤的形态、治疗方法及疗效分析.方法 对38例盘状半月板损伤患者,年龄9～30岁,平均17岁,行关节镜下盘状半月板损伤缝合成形术.随访时间13～24个月,平均16个月,并进行术前术后疗效分析.结果 患者术前交锁、疼痛症状消失,关节功能恢复良好,无其他并发症.术后3个月MRI示半月板愈合良好,所有患者术前Lysholm膝关节功能评分(54±4)分,术后(87±4)分,二者比较差异有统计学意义(P＜0.01).结论 关节镜下青少年盘状半月板缝合成形术可以获得良好的效果,是治疗青少年膝关节盘状半月板损伤的良好选择.Objective To study the shape, treatment and results of discoid meniscus injuries in adolescents under arthroscopy.Methods The discoid meniscus diagnosed of 38 cases(9 -30 years, 17 years old on average) have been the operation of repairing and plasty by arthroscopy.The preoperotive and postoperative effectiveness analysis was followed up 13 to 24 months (mean, 16 months) in adolescents.Results The preoperative main symptoms all disappeared with no other complicating disease.All the injured meniscus reached clinical healing by MRI 3 months later.There was significant difference in the ayerage Lysholm score of all patients between preoperative ( 54 ± 4 ) and ( 87 ± 4 ) postoperative ( P ＜0.01 ).Conclusions In adolescents arthroscopic discoid meniscus repairing and plasty can get a good effect.It is better to chose this method to treat discoid meniscus injury in adolescents.

关 键 词：关节镜 盘状半月板 缝合 成形 

分 类 号：R687.4[医药卫生—骨科学]