关节镜技术在关节外手术的临床应用  

CLINICAL APPLICATION OF ARTHROSCOPY IN EXTERIOR JOINT SURGERY

作　　者：刘玉杰[1] 王志刚[1] 李众力[1] 原新成[1] 

机构地区：[1]解放军总医院,北京100853

出　　处：《解放军医学杂志》2003年第3期275-276,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：应用关节镜技术行关节外手术 45例 ,其中关节镜下双侧臀肌挛缩射频汽化松解 14例 ,关节镜监视下腕横韧带松解治疗腕管综合征 15例 ,肱骨大结节骨折关节镜下经皮复位内固定 3例 ,股骨干钢板取出 5例 ,窝囊肿关节镜下射频汽化 8例。肱骨大结节骨折关节镜下经皮复位空心钉内固定 3例均达解剖复位 ,骨折愈合 ,肩关节功能恢复良好 ;关节镜监视下腕横韧带切开减压治疗腕管综合征 ,术后 15例神经压迫症状解除 ,感觉运动功能恢复正常 ;双臀肌挛缩关节镜下射频汽化松解 14例 ,术后髋关节弹响消失 ,下肢交腿试验阴性 ,双膝并拢下蹲功能恢复正常。窝囊肿关节镜射频汽化术后无复发 ,无血管神经损伤和感染等并发症。说明关节镜下手术为微创操作 ,安全可靠 ,不仅适用于关节内手术 。To introduce the methods of the arthroscopy for exterior joint surgery, 45 cases have been subjected to surgical operations under arthroscopy in the exterior of joint during June 1999 to July 2002, including 14 for gluteus constrictor releasing by radiofrequency, 5 for removing of the screw and plate of the femur shaft, 3 for reduction and internal fixation for the fracture of humerus greater tubercle under the arthroscopy, 8 for removal of popliteal fosse cyst, and 15 for releasing carpal tunnel syndrome. The results showed that the function was satisfactory after reduction and internal fixation for humerus greater tubercle fracture, releasing of gluteus contracture and removing of popliteal fossa cyst by radiofrequency under arthroscopy. The symptoms of numbness and pain disappeared after carpal tunnel release by arthroscopy. No blood vessel and nerve injury, occurred and no recurrence and infection were found. In conclusion, the procedures of arthroscopy are with minimum invasion, less pain and easy for early rehabilitation for all treated cases. It can be used not only for joint disease but also be selective for the exterior joint surgery as well.

关 键 词：关节镜检查 腕管综合征 髋挛缩 射频 

分 类 号：R681.7[医药卫生—骨科学] R745.4[医药卫生—外科学]