关节镜治疗髌内侧滑膜皱襞综合征30例分析  

Analysis of Arthroscopy for the Treatment of 3 0 Cases of Mediopatellar Syndrome

作　　者：周益昭[1] 刘宝荣[1] 夏铎[1] 宋雄波 朱璐[1] 

机构地区：[1]湖南省人民医院关节外科,湖南长沙410005

出　　处：《医学临床研究》2014年第6期1094-1096,共3页Journal of Clinical Research

摘　　要：【目的】探讨关节镜治疗髌内侧滑膜皱襞综合征的适应证选择、手术技巧和临床疗效。【方法】2012年1月至2013年6月收治30例髌内侧滑膜皱襞综合征患者，采用关节镜下滑膜皱襞完全切除术，分别在术前及术后末次随访时采用 Lysholm评分进行膝关节功能评估。【结果】本组30例均获得随访，随访时间7～21个月，平均12个月，膝关节功能较术前明显改善，Lysholm评分较术前明显提高（90．7 vs 63．2，P＜0．05）；优和良29例，中1例，优良率96．7％，【结论】关节镜下髌内侧滑膜皱襞切除术治疗髌内侧滑膜皱襞综合征具有损伤小、关节功能恢复快等特点，能有效改善膝关节功能。[Obj ective]To explore the selection of the indications,operation skills and clinical efficacy of ar-throscopy for the treatment of mediopatellar syndrome.[Methods]A total of 30 patients with mediopatellar syn-drome from Jan.2012 to June 2013 were treated by the complete excision of synovial fold under arthroscopy.Ly-sholm score system was used to evaluate knee joint function before operation and at the latest follow-up after oper-ation.[Results]All the 30 patients were followed up for 7 to 21months,and the average follow up time was 12 months.Compared with before operation,knee joint functions were improved obviously,and Lysholm scores were increased obviously（90.7 vs.63.2,P〈0.05）.Among them,29 patients were excellent and good,and 1 patient was fair.The excellent and good rate was 96.7%.[Conclusion]Mediopatellar resection under arthroscopy for the treatment of mediopatellar syndrome has advantages such as minimal invasion and rapid recovery of joint function, and can improve knee joint function effectively.

关 键 词：髌骨 综合征 膝关节 关节镜检查 

分 类 号：R68[医药卫生—骨科学]