驻岛官兵膝关节损伤的膝关节镜治疗疗效观察  

Application of arthroscopy in the treatment of knee joint injury among the island garrison force

作　　者：张志凌[1] 黄绍盛 童良勇[1] 陈立喜[1] 黄垂邦 卢福萧 

机构地区：[1]解放军第四二五医院,海南三亚572000

出　　处：《海军医学杂志》2015年第4期324-325,350,共3页Journal of Navy Medicine

基　　金：海南省卫生厅课题(琼卫2011-101号)

摘　　要：目的研究驻岛官兵膝关节损伤的类型及关节镜治疗效果,提出相应的预防措施。方法收集2012年3月到2013年4月共42例膝关节损伤病例,应用膝关节镜技术进行镜下诊断及治疗。结果 42例膝关节损伤中,前交叉韧带损伤31例,部分损伤1例,合并内侧或外侧半月板损伤14例,单纯半月板损伤2例,外侧盘状软骨损伤1例,髌骨软化症2例,创伤性滑膜炎3例,后交叉韧带损伤1例,股骨滑车软骨损伤1例,创伤性关节炎1例。所有患者经关节镜治疗,均重返工作岗位。结论驻岛官兵膝关节损伤中前交叉韧带损伤发生率最高,绝大多数为完全断裂,早期误诊率较高,延误治疗较多,应重视官兵膝关节损伤,及早行关节镜检查和治疗,以提高治愈率。Objective To investigate types of knee joint injury among island garrison force and the effect of arthroscopy,and also to recommend related preventive measures.Methods Forty-two cases of knee joint injury were collected from the medical data registered from March,2012 to April,2013,and diagnosis and treatment were performed by arthroscopy.Results Of the 42 cases of knee joint injury,there were 31 cases of anterior cruciate ligament injury,14 cases of internal meniscus injury combined with external meniscus injury,2 cases of simple meniscus injury,1 case of external discoid cartilage injury,2 cases of chondromalacia patellae,3 cases of traumatic synovitis,1 case of posterior cruciate ligament injury,and 1 case of traumatic knee joint arthritis.Following treatment by arthroscopy,all the patients returned to duty.Conclusion In the knee joint injury that occurred among island garrison military per-sonnel,the highest incidence was anterior cruciate ligament injury,with complete rupture of ligament in most cases.There was a rela-tively high rate of misdiagnosis and treatment delay.For this reason,attention should be paid to knee joint injury occurred among mili-tary personnel,and early arthroscopy should be performed as early as possible,so as to improve cure rate.

关 键 词：膝关节 损伤 关节镜 

分 类 号：R684[医药卫生—骨科学]