膝盘状软骨的关节镜治疗  

Arthroscopic Meniscectomy for Discoid Lateral Meniscus

作　　者：贾学文[1] 毛宾尧[1] 史文骥[1] 应忠追[1] 沈是铭[1] 汪莺飞[1] 

机构地区：[1]宁波市第一医院,宁波市骨科研究所,浙江315010

出　　处：《中国矫形外科杂志》2001年第5期449-451,共3页Orthopedic Journal of China

摘　　要：目的 :探讨关节镜诊断治疗膝关节盘状软骨的作用。材料与方法 :1995年 9月～ 1999年 12月关节镜治疗外侧盘状软骨 3 8例。部分切除 2 0例 ,次全切除 14例 ,全切 4例。结果 :随访 6个月～ 4年 3个月 ,关节功能正常、症状消失 3 0例。偶有疼痛 3例 ,关节弹响 1例 ,肌萎缩无改善 2例 ,膝关节屈伸轻度受限 2例。结论 :盘状软骨镜下切除术保留软骨的宽度取决于盘状软骨的类型、撕裂范围和位置。保留的软骨应稳定、紧张 ;保留软骨形成的“半圆箍”应完整 ;Objective:Evaluation for clinical results of arthroscopic meniscectomy of the discoid lateral meniscus syndrome.Methods:38 knees underwent arthroscopic lateral meniscectomy for symptomatic discoid lateral meniscus.The main preoperative symptom was pain in 28 knees and snapping knee in 25.At arthroscopy,8 menisci were complete,30 were incomplete.When the capsular attachment was intact,34 torn discoid lateral meniscuses were modified to normal semilunar shape.4 were totally resected.Results:Follow-up ranged from 6 to 51 months after surgery.30 knees were rated as excellent (no symptoms and full rang of motin),4 were rated as good (occasional pain),and 4 were fair(amyotrophia and incomplete motion).Conclusion:The extent of the meniscectomy depended on the site and shape of the tear.The remaining meniscus should be stable and strain.The semicircular-shape should be intact and the snap disappeared.

关 键 词：盘状软骨 膝关节镜 治疗 

分 类 号：R687.4[医药卫生—骨科学]