儿童盘状半月板损伤手术预后的影响因素和并发症研究进展  

Progress on study of factors influencing the prognosis and complications of surgery for discoid meniscus injury in children

作　　者：张海锐 赵志尧 黄炳哲 刘晓宁[1] ZHANG Hai-rui;ZHAO Zhi-yao;HUANG Bing-zhe;LIU Xiao-ning(The Orthopaedics Center,the 2nd Hospital of Jilin University,Changchun 130041,Jilin,China)

机构地区：[1]吉林大学第二医院骨科医学中心,吉林长春130041

出　　处：《中国骨伤》2024年第1期98-102,共5页China Journal of Orthopaedics and Traumatology

基　　金：吉林省科技发展计划项目(编号:20200201566JC)。

摘　　要：盘状半月板是一种常见的先天性的半月板畸形,主要在亚洲人中多见,常累及外侧半月板。对于无症状的盘状半月板患者通常采取观察、避免受伤等保守方法治疗,对于有症状和撕裂的患者则需要行手术方法治疗。目前多采取关节镜下半月板成形术联合半月板部分切除术和半月板修复术,并且早期至中期的报告良好。患者的手术年龄、术后随访时间和手术类型都是预后的影响因素。部分患者手术后会出现膝关节长时间疼痛,早期骨关节炎,再撕裂和剥脱性软骨炎等并发症。其中长时间疼痛的发生率较高,剥脱性软骨炎的发生率最低。半月板再撕裂则是患者行二次手术的主要原因。The discoid meniscus is a common congenital meniscal malformation that is prevalent mainly in Asians and often occurs in the lateral discoid meniscus.Patients with asymptomatic discoid meniscus are usually treated by conservative methods such as observation and injury avoidance,while patients with symptoms and tears need to be treated surgically.Arthroscopic saucerization combined with partial meniscectomy and meniscus repair is the most common surgical approach.,and early to mid-term reports are good.The prognostic factors are the patient's age at surgery、follow-up time and type of surgery.Some patients experience complications such as prolonged postoperative knee pain,early osteoarthritis,retears and Osteochondritis dissecans.The incidence of prolonged postoperative knee pain was higher and the incidence of Osteochondritis dissecans was the lowest.Retears of the lateral meniscus is the main reason for reoperation.

关 键 词：盘状半月板 手术结果 术后并发症 儿童 综述文献 

分 类 号：R684[医药卫生—骨科学]