膝关节半月板根部损伤的诊断和治疗研究进展  

RESEARCH DEVELOPMENT OF DIAGNOSIS AND TREATMENT OF MENISCAL ROOT TEARS

作　　者：刘军[1] 孙云波[1] 王磊[1] 张东亮[1] 张宇[1] 孙振辉[1] 

机构地区：[1]天津市人民医院关节外科,天津300000

出　　处：《中国修复重建外科杂志》2014年第10期1298-1302,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结膝关节半月板根部损伤(meniscal root tears,MRTs)的病因以及诊断和治疗研究进展。方法广泛查阅近年MRTs的相关文献,并进行分析总结。结果 MRTs可分为急性创伤性损伤和慢性退行性损伤两类;MRI检查是确诊MRTs的有效方法,综合半月板突出、"鬼影征"、半月板根部线状缺损等可提高确诊率。慢性退行性损伤以保守治疗或部分半月板切除术为主;急性创伤性损伤采用关节镜下半月板根部修复,可有效恢复半月板根部解剖结构和功能,进而延缓膝关节退变发生。结论 MRTs诊断主要依赖MRI,确诊后根据患者具体情况制定相应的治疗方案,一般可获得良好近期疗效,远期疗效有待进一步研究观察。Objective To analyze the causes of meniscal root tears（MRTs）, and to review the progress in its diagnosis and therapy. Methods The published literature about MRTs was extensively reviewed and summarized. Results MRTs can be divided into acute traumatic injuries and chronic degenerative injuries; MRI examination is an effective way to diagnose according to meniscal extrusion, ghost sign, and meniscal root linear defects. Conservative treatments are mainly performed for chronic MRTs; partial meniscectomy can obtain predictable improvement in symptoms. Acute MRTs can be treated by arthroscopic meniscus repair and reconstruction which can effectively restore meniscal root anatomy and function, and knee joint degeneration can be postponed. Conclusion MRTs diagnosis relies on MRI, appropriate treatment plan should be made based on the specific circumstances of the patient after accurate diagnosis. Usually the satisfied short-term clinical results can be obtained, while the long-term results need more clinical evaluation.

关 键 词：半月板根部损伤 诊断 修复重建 

分 类 号：R687.4[医药卫生—骨科学]