摘要
目的:探讨保留髌下脂肪垫的膝关节镜高位前侧入路在膝关节镜手术中应用的临床疗效。方法:回顾性分析2014年10月至2015年10月我院膝关节镜手术60例。其中32例采取膝关节镜高位前侧入路保留髌下脂肪垫;28例采取常规入路,术中刨削部分髌下脂肪垫。记录患者手术时间、关节腔引流量,并于术后6个月进行膝前疼痛VAS评分及膝关节功能Lysholm评分。结果:膝关节镜常规入路切除髌下脂肪垫组与膝关节镜高位前侧入路保留髌下脂肪垫组临床治疗优良率分别为92.9%和93.8%,组间比较差异无统计学意义(P>0.05);但两组间手术时间、关节腔引流量、术后6个月VAS评分、Lysholm评分比较,差异有统计学意义(P<0.05)。结论:膝关节镜手术中,保留髌下脂肪垫对比切除髌下脂肪垫术后疗效优势明显。膝关节镜高位前侧入路在保留髌下脂肪垫的同时保证手术视野的充分暴露,利于手术操作,缩短手术时间,减轻患者术后膝前疼痛,有利于快速康复。
Objective:To evaluate the clinical effect of preservation of the infrapatellar fat pad on knee arthroscopic surgery.Methods:A retrospective ananlysis was performed on 60 patients operated by knee arthroscopy between Oct.2014 and Oct.2015.Among them,32 cases were received high anterolateral knee arthroscopic portals to preserve the infrapatellar fat pad,while 28 cases were subjected to conventional knee arthroscopy portals with eliminating apart of the infrapatellar fat pad intraoperative.The operation time and the volume of drainage from articular cavity were recorded,and the anterior knee pain VAS score and Lysholm knee function score were also graded six months postoperation.Results:The excellent rate of clinical treatment in arthroscopic routine approach for resection of infrapatellar fat pad(IPFP)group and arthroscopic anterior high approach for retained IPFP group was 92.9%and 93.8%,respectively;and there was no significant difference between these two groups(P>0.05).However,for the operation time,articular cavity drainage,VAS score and Lysholm score postoperative 1weeks and 6months,the differences were statistically significant(P<0.05).Conclusion:Preservation of the infrapatellar fatpad in knee arthroscopic surgery may be superior to conventional knee arthroscopic surgery,which is characterized by adequate exposure of the surgical field of vision and relief of the knee joint pain after operation,then resulting in more stability and quick recovery of the postoperative knee.
出处
《武汉大学学报（医学版）》
CAS
2017年第2期293-297,共5页
Medical Journal of Wuhan University
关键词
髌下脂肪垫
膝关节镜
高位前侧入路
Infrapatellar Fat Pad
Knee Arthroscopy
High Anterolateral Portals
