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局麻全关节镜下半月板囊肿的清理与缝合治疗 被引量:13

Total arthroscopic debridement and suture for meniscus cysts under local anesthesia:a report of 42 cases
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摘要 目的评价局麻全关节镜下半月板囊肿清理与缝合术的疗效。方法 2005年3月-2009年11月收治半月板囊肿42例,其中男27例,女15例,年龄31.2±6.3(1546)岁,采用局麻全关节镜下囊肿清理与半月板缝合术进行治疗,评估患者的手术满意度,并比较手术前后的Lysholm评分及VAS疼痛评分,记录有无术后并发症及囊肿复发。结果所有患者均获随访,随访时间13个月5年(26.4±11.8个月),未见明显术后并发症及囊肿复发。术后Lysholm评分(90.63±9.45)明显高于术前(40.75±11.39,P=0.00),而VAS疼痛评分(1.63±2.29)明显低于术前(7.50±2.82,P=0.00)。按Molster对Lysholm评分的分级方法,术后优27例,良12例,可3例,优良率92.9%。手术疗效满意度95.2%。结论局麻全关节镜下囊肿清理与半月板缝合术手术创伤小,安全性高,有利于早期康复。 Objective To evaluate the effects of total arthroscopic debridement and suture for meniscus cysts under local anesthesia.Methods Forty-two patients with meniscus cysts hospitalized from March 2005 to November 2009(27 males and 15 females,aged 15 to 46 years with mean of 31.2±6.3 years) were involved in present study,and all of them underwent arthroscopic debridement and meniscus suture under local anesthesia.Patient satisfaction rate for operation was evaluated,the Lysholm score and pain visual analogue scale(VAS) of patients before and after operation were compared,and the postoperative complications and cyst recurrence were recorded.Results Follow-up data were available for all the 42 patients,the duration was 13 months to 5 years(mean 26.4±11.8 months).No postoperative complication or cyst recurrence was found.The postoperative Lysholm score(90.63±9.45) was significantly higher than that of preoperative(40.75±11.39,P=0.00),while the postoperative pain VAS score(1.63±2.29) was significantly lower than that of preoperative(7.50±2.82,P=0.00).According to Molster’ classification for Lysholm score,27 of the 42 patients were classified as excellent,12 as good,3 as fair and 0 as poor,thus the total excellent and good proportion was 92.9%.The ratio of satisfaction for operation was 95.2%.Conclusion Total arthroscopic debridement and suture under local anesthesia is an effective surgical procedure for treatment of meniscus cysts with small incision,less tissue trauma,high degree of safety,and beneficial for early rehabilitation.
出处 《解放军医学杂志》 CAS CSCD 北大核心 2011年第5期530-532,共3页 Medical Journal of Chinese People's Liberation Army
关键词 关节镜检查 半月板 胫骨 囊肿 缝合技术 麻醉 局部 arthroscopy menisci, tibial cysts suture techniques anesthesia, local
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参考文献12

  • 1Lantz B, Singer KM. Meniscal cysts[J]. Clin Sports Med, 1990, 9 (3) : 707-725.
  • 2Hulet C, Souquet D, Alexandre P, et al. Arthroscopic treatment of 105 lateral meniscal cysts with 5-year average follow-up[J]. Arthros copy, 2004, 20(8): 831-836.
  • 3Choi NH, Victoroff BN. Anterior horn tears of the lateral meniscus in soccer players[J]. Arthroscopy, 2006, 22(5): 484 -488.
  • 4Pinar H, Boya H, Satoglu IS, et al. A contribution to Pisani's sign for diagnosing lateral meniscal cysts: a technical report [J]. Knee Surg Sports Traumatol Arthrosc, 2009, 17(4): 402- 404.
  • 5Landsiedl F. Improved outside-in technique of arthroscopic meniscal suture[J]. Arthroscopy, 1992, 8(1): 130-131.
  • 6Kim SJ, Kim HJ. High portal: practical philosophy for positioning portals in knee arthroscopy[J]. Arthroscopy, 2001, 17(3): 333-337.
  • 7Barrie HJ. The pathogenesis and significance of menisceal cysts[J]. J Bone Joint Surg Br, 1979, 61-B(2): 184-189.
  • 8Hantes ME, Zachos VC, Varitimidis SE, et al. Arthroscopic menis cal repair: a comparative study between three different surgical tech niques [J]. Knee Surg Sports Traurnatol Arthrosc, 2006, 14(12) 1232-1237.
  • 9Morgan C, Wojtys E, Casscells C, et al. Arthroscopic meniscal repair evaluated by second-look arthroseopy[J]. Am J Sports Med, 1991, 19(6): 632-637.
  • 10Cho JH. Arthroscopic all inside repair of anterior horn tears of the lateral meniscus using a spinal needle[J]. Knee Surg Sports Trauma tol Arthrosc, 2008, 16(7): 683-686.

二级参考文献16

  • 1段砺瑕,李晓玲.氟比洛芬酯注射液的药理作用及临床应用[J].中国新药杂志,2004,13(9):851-852. 被引量:602
  • 2Law BK, Yung PS, Ho EP, et al.Review of knee arthroscopy performed under local anesthesia [ J ] . Sports Med Arthrosc Rehabil Ther Technol, 2009, 1 ( 1 ) : 3.
  • 3Reuben SS, Sklar J. Pain management in patents who undergo outpatient arthroscopic surgery of the knee [ J ] . J Bone Joint Surg AM, 2000, 82-A ( 12 ) : 1754-1766.
  • 4Samdadas EP, Chalidis B, Fotiadis H, et al. The intra-articular use of ropivacaine for the control of post knee arthroscopy pain [ J ] . J Orthop Surg Res, 2006, 1 : 17.
  • 5Takahashi T, Tanaka M, Ikeuchi M, et al. Pain in arthroscopic knee surgery under local anesthesia [ J ] . Acta Orthop Scand, 2004, 75 ( 5 ) : 580-583.
  • 6Dye SF, Vaupel GL, Dye CC. Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anesthesia [ J ] . Am J Sports Med, 1998, 26 ( 6 ) : 773-777.
  • 7王亦璁 毕五蝉.膝半月板损伤[J].中华骨科杂志,1989,9(5):382-382.
  • 8CanaleST 卢世璧主译.坎贝尔骨科手术学[M].济南:山东科学技术出版社,2001.1460-1463.
  • 9Marinescu R, Laptoiu D, Negrusoiu M. Outside-in meniscus suture technique: 5 years' follow-up. Knee Surg Sports Traumatol Arthrosc, 2003, 11(3):167.
  • 10Borden P, Nyland J, Caborn DN. Biomechanical comparison of the FasT-Fix meniscal repair suture system with vertical mattress sutures and meniscus arrows. Am J Sports Med, 2003, 31(3):374.

共引文献14

同被引文献77

  • 1杨林,赵新建,廖绪强,关宏业.关节镜下治疗半月板囊肿[J].中国内镜杂志,2008,14(6):612-613. 被引量:4
  • 2王志刚,刘玉杰,高丽,朱娟丽,李众利,张文涛,蔡胥.局麻关节镜监视下半月板缝合术[J].解放军医学杂志,2005,30(3):263-265. 被引量:8
  • 3张春礼,徐虎,范宏斌,马真胜.半月板囊肿的关节镜下手术治疗——附20例病例报告[J].中国矫形外科杂志,2006,14(15):1137-1139. 被引量:9
  • 4张建新,王和鸣,吴超英,黄朝阳,李建飞.泉州市中老年人退行性膝骨关节炎的流行病学调查[J].中国中医骨伤科杂志,2007,15(2):4-5. 被引量:48
  • 5施桂英.关节炎概要[M].北京:中国医药科技出版社,2005.442-443.
  • 6Moseley B. Arthroscopic surgery did not provide additional benefit to physical and medical therapy for osteoarthritis of the knee[J]. J Bone Joint Surg Am,2009,91(5):1281.
  • 7Anne MD,Bernard MD,John MD. Arthroscopic surgery for knee osteoarthritis[J]. The Journal of Family Practice, 2009,58(3) : 143-145.
  • 8Moseley JB, O'Malley K, Petersen NJ ,et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee[J]. N Engl J Med, 2002,347(2) :81-88.
  • 9Richard W N. Is arthroscopic surgery a beneficial treatment for knee osteoarthritis[J]. Nature Clinical Practice, 2009,5 ( 3 ) : 122-123.
  • 10Marx RG. Arthroseopic surgery for osteoarthritis of the knee[J]? N Engl J Med,2008,359(11) : 1169-1170.

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