摘要
目的探讨关节镜下经膝半月板滑膜缘入路行半月板囊肿切除术的效果。方法对24例膝关节半月板囊肿患者（均合并半月板损伤,其中2例合并前叉韧带断裂）在关节镜下经半月板滑膜缘入路进行囊肿切除术,同时修复半月板损伤。结果 23例患者获得随访,时间26-50个月。MRI检查均未发现囊肿复发;按国际膝关节评分委员会（IKDC）膝关节功能评分,术前为（67.2±4.1）分,末次随访时为（89.6±5.7）分。结论关节镜下经半月板滑膜缘入路能够完成膝关节半月板囊肿的彻底切除,并能够最大程度地保留半月板,手术效果好。
Objective To explore a new method for meniscal cysts arthroscopically using junction approach,and to evaluate its clinical outcome.Methods 24 patients with meniscal cysts combined with meniscal tears were treated at our institution,two patients of whose had associated anterior cruciate ligament injury.Cystectomy was performed arthroscopically through junction approach between the edge of the meniscus and the capsule of the knee joint while preserving meniscal tissue and suturing the meniscus.Results 23 patients attended the follow-up（range,26 to 50 months）.MRI evaluation showed no cyst recurred at final follow-up for all cases.IKDC score showed a significance improvement from（67.2±4.1） preoperatively to（89.6±5.7） postoperatively.Conclusions Arthroscopic cystectomy through junction approach is effective for removal of the meniscal cysts while preserving meniscal tissue to the most extent.
出处
《临床骨科杂志》
2011年第5期558-560,共3页
Journal of Clinical Orthopaedics
