膝周滑囊炎的鉴别诊断与治疗

目的 探讨膝关节周围滑囊炎的鉴别诊断与治疗方法。方法 回顾我院自2000年3月～2002年3月诊治的32例膝周滑囊炎，通过膝关节镜检查治疗后，经查体及患者主诉明确最后诊断。采取保守治疗，并进行临床随访分析。结果 随访8～40周，9例无膝内病变且仅为一种滑囊炎的3周以内治愈。23例合并2种以上滑囊炎(包括4例合并膝内病变者)3～5周治愈。结论 对膝周滑囊炎，根据主诉及查体，先区分关节内外，再辨别疼痛部位，可以进行鉴别诊断。本病保守治疗可治愈。

Bursitis around the knee joint:differential diagnosis and treatment

Objective To discuss the differential diagnosis and treatment of bursitis around the knee. Methods 32 patients with bursitis around the knee were treated from March 2000 to March 2002 in our hospital. Their diagnosis and treatment were reviewed. The arthroscopy of knee confirmed all the initial diagnosis of the patients made by the physical examination and complaints. We gave them conservative treatment and analyzed the clinical follow ups. Results All the patients were followed up for 8 to 40 weeks. 9 of them who had no internal knee lesions but only one kind of bursitis healed within 3 weeks. 23 of them who had more than two kinds of bursitis (including four who had internal knee lesions) healed within 3 to 5 weeks. Conclusions The differential diagnosis of the bursitis around the knee can be made on the basis of complaints and physical examination. These cases can be managed by conservative treatment.