局麻全关节镜下半月板囊肿的清理与缝合治疗  

Total arthroscopic debridement and suture for meniscus cysts under local anesthesia:a report of 42 cases

作　　者：陈旭[1] 刘玉杰[1] 李众利[1] 王志刚[1] 魏民[1] 王晓[1] 朱娟丽[1] 

机构地区：[1]解放军总医院骨科,北京100853

出　　处：《解放军医学杂志》2011年第5期530-532,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：目的评价局麻全关节镜下半月板囊肿清理与缝合术的疗效。方法 2005年3月-2009年11月收治半月板囊肿42例,其中男27例,女15例,年龄31.2±6.3（1546）岁,采用局麻全关节镜下囊肿清理与半月板缝合术进行治疗,评估患者的手术满意度,并比较手术前后的Lysholm评分及VAS疼痛评分,记录有无术后并发症及囊肿复发。结果所有患者均获随访,随访时间13个月5年（26.4±11.8个月）,未见明显术后并发症及囊肿复发。术后Lysholm评分（90.63±9.45）明显高于术前（40.75±11.39,P=0.00）,而VAS疼痛评分（1.63±2.29）明显低于术前（7.50±2.82,P=0.00）。按Molster对Lysholm评分的分级方法,术后优27例,良12例,可3例,优良率92.9%。手术疗效满意度95.2%。结论局麻全关节镜下囊肿清理与半月板缝合术手术创伤小,安全性高,有利于早期康复。Objective To evaluate the effects of total arthroscopic debridement and suture for meniscus cysts under local anesthesia.Methods Forty-two patients with meniscus cysts hospitalized from March 2005 to November 2009（27 males and 15 females,aged 15 to 46 years with mean of 31.2±6.3 years） were involved in present study,and all of them underwent arthroscopic debridement and meniscus suture under local anesthesia.Patient satisfaction rate for operation was evaluated,the Lysholm score and pain visual analogue scale（VAS） of patients before and after operation were compared,and the postoperative complications and cyst recurrence were recorded.Results Follow-up data were available for all the 42 patients,the duration was 13 months to 5 years（mean 26.4±11.8 months）.No postoperative complication or cyst recurrence was found.The postoperative Lysholm score（90.63±9.45） was significantly higher than that of preoperative（40.75±11.39,P=0.00）,while the postoperative pain VAS score（1.63±2.29） was significantly lower than that of preoperative（7.50±2.82,P=0.00）.According to Molster’ classification for Lysholm score,27 of the 42 patients were classified as excellent,12 as good,3 as fair and 0 as poor,thus the total excellent and good proportion was 92.9%.The ratio of satisfaction for operation was 95.2%.Conclusion Total arthroscopic debridement and suture under local anesthesia is an effective surgical procedure for treatment of meniscus cysts with small incision,less tissue trauma,high degree of safety,and beneficial for early rehabilitation.

关 键 词：关节镜检查 半月板 胫骨 囊肿 缝合技术 麻醉 局部 

分 类 号：R684.760.5[医药卫生—骨科学]