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关节镜下治疗膝关节盘状半月板损伤28例疗效分析 被引量:25

The effectiveness of the knee jiont meniscus injury treatment with arthroscope
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摘要 目的:探讨膝关节盘状半月板损伤的临床特点及关节镜下治疗效果。方法:关节镜下治疗膝关节盘状半月板损伤28例,其中行部分切除成形术16例,次全切除术9例,全切除术3例。采用Ikeuchi膝关节评分系统评估手术疗效。结果:术后随访3~24个月,优18例,良7例,可3例,优良率89.3%,无并发症发生。结论:关节镜治疗膝关节盘状半月板损伤具有损伤小、恢复快、疗效确切等优点,是目前盘状半月板损伤的理想治疗方法;早发现、早诊断、早治疗,并尽可能保留6~8 mm具有良好稳定性的健康半月板组织是治疗的关键。 Objective:To study the character of the discoid meniscus injury and the effectiveness of arthroscope treatment.Methods:Twenty-eight cases with discoid meniscus injury were treated with the arthroscope,including 16 cases with partial resection,9 cases with subtotalresection and 3 cases with resection.The effectiveness was evaluated by using Ikeuchi points scoring system.Results:The patients were followed from 3 to 24 months.Eighteen cases were excellent,7 cases were good and 3 cases were general.Good rate was 89.2% and all cases had no complications.Conclusions:Owing to high-accuracy,small operators trauma,joint function quick recovery and fewer complications,the approach of discoid meniscal injury treated with arthroscopic is an ideal treatment way.Early detection,early diagnosis,early treatment,and keeping 6-8 mm healthy discoid meniscus tissue is the key of treatment discoid meniscus injury with arthroscope.
出处 《蚌埠医学院学报》 CAS 2012年第1期33-35,共3页 Journal of Bengbu Medical College
关键词 膝损伤 关节镜术 盘状半月板 膝关节 knee injury arthroscope discoid meniscus knee jiont
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