关节内损伤与关节镜技术的进展  

Progress in treatment of intra-articular injury and arthroscopic techniques in China

作　　者：侯筱魁[1] 

机构地区：[1]第二医科大学附属第九人民医院骨科,上海市200011

出　　处：《中华创伤骨科杂志》2004年第1期30-33,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：关节内损伤指涉及关节结构的骨、软骨和关节内软组织包括韧带、软骨盘、滑膜等的急性或慢性损伤。传统的诊断和治疗方法由于其局限性常导致关节失稳和创伤性关节病变。关节镜作为一种微创技术,自上世纪80年代以来国内开始用于诊治急慢性关节损伤,随着关节镜手术理论和技术的提高和普及,关节镜设备和器械的改进,关节镜更广泛地应用于诊断和治疗急性关节创伤、关节内骨与软骨骨折、关节内韧带损伤、半月板损伤,肩关节损伤等方面。本文对此进行综述。Intra-articular injury refers to acute and chronic trauma o f such joint structures as bone, cartilage and intra-articular soft tissues: li gament,cartilage disc and synovium. The limitations of traditional diagnosis and treatment usually result in joint instability and traumatic arthritis. Arthrosc opic surgery is a typical method of minimally invasive technique, and has been a pplied in our country since 1980s. With rapid progress and popularization of t he arthroscopic technology as well as great improvement in arthroscopic instrume nts and equipment (lens systems, fiberoptic systems and accessory operative inst ruments), the advanced arthroscopic operative method can be widely applied in di agnosis and treatment of acute joint traumas, intra-articular bone and cartilag e fractures, intra-articular ligament injuries, meniscus injuries and shoulder joint ailments. The article reviews the progress made in the past decade in the clinical application of arthroscopic technology.

关 键 词：关节内损伤 关节镜 微创外科 关节内骨 软骨骨折 生物力学 

分 类 号：R687.3[医药卫生—骨科学]