关节镜治疗不同年龄段膝关节盘状半月板的疗效分析  

The effect of arthrescopic treatment for discoid meniscus in different age groups

作　　者：胡月正[1] 许心弦[1] 余华晨[1] 潘孝云[1] 张宇[1] 张敬东[2] 温宏[1] 

机构地区：[1]温州医科大学附属第二医院骨关节外科,325027 [2]温州医科大学附属第二医院一小儿骨科,325027

出　　处：《中华小儿外科杂志》2015年第5期335-338,共4页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨不同年龄段膝关节盘状半月板患者采用关节镜治疗的临床疗效。方法回顾性分析诊断为盘状半月板的住院患者共195例205膝，分为≤16岁儿童组和≥25岁成人组，均采用关节镜手术治疗。关节镜下观察不同年龄段盘状半月板损伤类型；术前术后分别采用Lysholm膝关节功能评分表对患者进行评价，评价关节镜手术治疗盘状半月板的临床疗效。结果关节镜治疗膝关节盘状半月板手术疗效良好。术中观察儿童组盘状半月板损伤类型以水平裂为主，成人组损伤类型多种多样，鲜有无损伤者；术后3个月随访，儿童组患者术后疗效好于成年组患者，Lysholm评分分别为90．99±4．23、82．41±9．91，差异有统计学意义（P〈0．01）。结论由于创伤小，术后恢复快，关节镜是治疗膝关节盘状半月板的有效手段；盘状半月板患者如有症状应早期行关节镜手术治疗。Objective To evaluate the curative effect of arthroscopic treatment for discoid meniscus in different age groups. Methods A total of 205 knees in 195 patients with discoid meniscus were recruited into this retrospective study and were divided into two groups of children （≤16 years old） and adults （≥25 years old）. All underwent arthroscopic treatment. The injury patterns of discoid meniscus were observed intraoperatively and knee functions evaluated with the Lysholm knee function score perioperatively. Results Excellent outcomes were achieved. Under arthroscopy, horizontal tear was a major injury type in children group. However, various types existed in adults group and few were normal. The surgical efficacy of children group was better than that of adults group at 3 months post-operation （P〈 0. 01 ）. Conclusions Arthroscopic treatment is effective in treating discoid meniscus for its advantages of mini-invasiveness and quick recovery. And symptomatic patients of discoid meniscus should he treated by arthroscopy during an early stage.

关 键 词：儿童 成人 半月板 关节镜 

分 类 号：R687.4[医药卫生—骨科学]