关节镜下治疗130例膝关节半月板损伤

目的：观察采用关节镜技术治疗膝关节半月板损伤患者的效果。方法：对130例半月板损伤患者，采用不同的膝关节镜下治疗技术，对其疗效进行分析。结果：关节镜下半月板缝合优良率达90％，半月板部分切除成形术优良率为87％，半月板全切除优良率为68％，8例青少年半月板损伤镜下确定后于膝关节支架外固定优良率为100％。结论：(1)青少年半月板损伤可采用非手术治疗；(2)距结合部5mm以内的半月板损伤可采取镜下缝合技术，尽量避免切除半月板。     

关节镜手术治疗膝关节半月板损伤的康复护理

关节镜外科技术是骨科发展史上的一个里程碑，是微创骨科领域中的重要组成部分，越来越多地应用于关节疾患的诊断和治疗中。关节镜应用在膝关节疾患诊治中最早，病例数最多，并且收到了良好的治疗效果。它具有切口小，功能恢复快，并发症少的优点。我科自1998年2月至2001年10月，开展了各类膝关节镜手术106例，疗效满意。现就其中半月板损伤行膝关节治疗的康复护理报告如下。     

关节镜手术治疗膝关节半月板损伤的护理体会

回顾性总结72例膝关节半月板损伤围手术期护理和观察要点,重点是:规范膝关节半月板损伤关节镜治疗术的围手术期护理和康复护理的重点及病情观察要点。本组患者功能恢复优良率达97.8%。提出:规范化的围手术期护理,以及术后科学的、个体化的康复指导,是关节镜术后保证肢体功能康复的保障。     

关节镜下手术治疗膝关节半月板损伤的效果观察

目的:观察关节镜下手术治疗膝关节半月板损伤的临床效果。方法:选取2012年7月~2014年3月广西中医药大学附属瑞康医院收治的45例膝关节半月板损伤患者,采取关节镜下手术治疗,观察患者临床效果。结果:经过治疗,患者Lysholm评分相较于治疗前差异明显,总有效率为95.56%,治疗前后患者临床症状差异显著,有统计学意义(P0.05)。结论:关节镜下手术治疗膝关节能够有效保留膝关节半月板,术中损伤轻、痛苦少,疗效佳、恢复快,有利于恢复膝关节正常功能,值得临床广泛应用。     

关节镜微创手术治疗膝关节半月板损伤临床效果及关节功能分析

目的 膝关节半月板损伤患者应用关节镜微创手术治疗效果与关节功能指标情况.方法 选取2018年8月至2020年8月本院诊治68例膝关节半月板损伤患者资料,按随机数字表法分两组,对照组予以开放半月板切除手术,研究组予以关节镜微创手术,分析两组患者疗效与关节功能情况.结果 研究组治疗后临床总有效比对照组高,比较差异具统计意义...     

膝关节半月板损伤关节镜下的诊断与治疗

目的：探讨关节镜在膝关节半月板损伤中诊断与治疗的价值。方法：对42例膝半月板损伤患者进行关节镜检查及治疗，行半月板部分切除、修整成形35例，大部分切除3例，表面修整4例，同时行镜下皱襞切除术3例，游离体摘除4倒、术后早期开始肌力训练和关节活动练习。结果：42例诊断明确，手术均获得成功。通过随访，优良率迭92．8％。结论：关节镜可对膝关节半月板损伤明确诊断、进行微创治疗，是诊治膝关节半月板损伤的好方法。     

关节镜半月板成形术治疗膝关节半月板损伤的效果及对膝关节功能的影响

目的 探讨关节镜半月板成形术对膝关节半月板损伤患者的治疗效果。方法 选取2013年6月至2020年2月在平煤神马医疗集团总医院治疗的膝关节半月板损伤患者50例,根据治疗方案分为观察组和对照组,观察组28例,对照组22例。其中观察组患者采用关节镜半月板成形术治疗,对照组患者采用非手术保守治疗。观察两组的治疗效果、手术前后患者的膝关节功能评分(Lysholm)和膝关节屈伸情况。结果 术后,观察组的手术优良率为92. 86%(26/28),高于对照组(68. 18%,15/22,P 0. 05)。两组患者的膝关节屈曲范围、Lysholm评分在关节镜术后均有提高(P 0. 05),且观察组术后的上述参数评分高于对照组(P 0. 05)。两组患者的伸直活动范围都有降低(P 0. 05),且观察组术后的伸直活动范围低于对照组(P 0. 05)。结论 关节镜半月板成形术治疗膝关节半月板损伤的效果好于保守治疗,值得在临床治疗中推广。     

关节镜下半月板切除术治疗半月板损伤的临床效果观察

探讨关节镜下半月板切除术治疗半月板损伤的临床效果。整取抽样2015年1月~2016年1月我院半月板损伤患者78例,按入院顺序单号为对照组39例,采取传统开放性切除术,双号为观察组39例,采取关节镜下半月板切除术,观察两组手术时间、术后功能恢复时间、住院时间及术后并发症发生情况,术后随访1年,采用Lysholm膝关节评分标准对患者膝关节功能恢复情况进行评定。与对照组比较,观察组手术时间、术后功能恢复时间及住院时间均缩短,优良率明显提高,术后并发症发生率下降(P0.05)。对半月板损伤患者采取关节镜下半月板切除术治疗的效果较好,促进患者膝关节功能恢复,且术后并发症少。     

关节镜下半月板成形术对膝关节半月板损伤患者膝关节功能的影响

目的 分析关节镜下半月板成形术治疗膝关节半月板损伤,对患者疾病相关指标与膝关节功能Lysholm评分、国际膝关节文献委员会膝关节评估表(IKDC)及日常生活活动能力量表(ADL)评分的影响.方法 按照随机数字表法将云南省文山壮族苗族自治州人民医院2018年11月至2020年9月收治的86例膝关节半月板损伤患者分为两组,...     

关节镜下半月板缝合修复术与半月板切除术治疗膝关节半月板损伤的对比观察

目的 观察关节镜下半月板切除术、半月板缝合修补术治疗膝关节半月板损伤的临床效果。方法 选取濮阳市人民医院2019年1月至2021年12月收治的80例膝关节半月板损伤患者为研究对象,应用信封法随机分为对照组与研究组,每组40例。对照组行关节镜下半月板切除术,研究组实施关节镜下半月板缝合修补术。比较两组手术情况;比较两组患者术前及术后3个月膝关节功能、活动度;比较两组不良反应发生情况。结果 两组均顺利完成相应手术方案,两组术中操作时间、术中失血量比较差异未见统计学意义(P>0.05)。研究组术后住院时间少于对照组(P <0.05)。两组术前Lysholm量表评分、膝关节活动度比较差异未见统计学意义(P>0.05);术后3个月,两组Lysholm量表评分、膝关节活动度均高于手术前(P <0.05),且研究组Lysholm量表评分、膝关节活动度优于对照组(P均<0.05)。研究组术后不良反应发生率(5.00%,2/40)低于对照组(32.50%,13/40),差异有统计学意义(χ²/t=9.928,P <0.05)。结论 应用关节镜下半...     

关节镜下盘状半月板损伤的治疗

目的 探讨膝关节镜下盘状半月板损伤手术治疗的最佳方法和疗效.方法 2011年11月至2013年4月,41例盘状半月板损伤患者行关节镜下半月板成形手术,其中38例患者采用Fast-Fix半月板缝合钉行半月板缝合.术后1个月内卧床进行关节功能锻炼,1个月后开始下地不完全负重功能锻炼,3个月后完全负重功能锻炼.结果 手术全部成功,无术后并发症.术后41例全部获得随访,随访时间3.0～18.0个月,平均10.5个月.术前Lysholm评分为（68.28 ±8.04）分,术后3个月为（88.17±7.49）分,两者比较差异有统计学意义（t=11.59,P＜0.05）.临床疗效：优28例,良10例,一般3例,差0例,优良率92.7％ （38/41）.结论 膝关节镜下盘状半月板成形缝合术治疗盘状半月板损伤具有手术创伤小、半月板结构正常及功能保留完整、康复快、并发症少的优点.目前关节镜下成形缝合术是治疗盘状半月板损伤的最好方法.     

关节镜手术治疗儿童膝关节症状性盘状半月板损伤的效果

目的探讨关节镜手术治疗儿童膝关节症状性盘状半月板损伤的效果。方法选择我院2012年6月至2018年6月收治的32例有膝关节临床症状的盘状半月板损伤患儿为研究对象,所有患儿均行关节镜下外侧盘状半月板部分切除成形术。术后评估患儿膝关节功能活动度及疼痛情况。结果所有患儿术后均获随访,随访时间6~36个月,平均(22.5±6.2)个月。术后6、12个月,患儿的Lysholm及VAS评分均优于术前,且术后12个月优于术后6个月(P<0.05)。患儿术后无感染、血肿及关节功能受限等手术并发症发生。结论关节镜手术治疗儿童症状性外侧盘状半月板损伤的创伤小、恢复快,可显著改善患儿膝关节功能,短期疗效确切。     

关节镜手术治疗半月板损伤的疗效分析

目的探讨关节镜手术治疗半月板损伤的疗效。方法将40例半月板损伤患者分为A、B两组。A组19例,B组21例。A组行开放性半月板切除术,B组行关节镜下半月板手术。疗效根据Lysholm膝关节评分进行评价,比较两组疗效。结果 40例患者均获得随访。A组优8例,良4例,差7例;B组优16例,良4例,差1例。根据等级资料秩和检验,两组比较差异有统计学意义（P〈0.05）,B组优良率显著优于A组。结论关节镜下手术治疗半月板损伤具有创伤小、检查直观准确、能直达视角盲区等优点,疗效更理想。     

MRI与关节镜诊断盘状半月板损伤的比较研究

目的 通过MRI与关节镜的对比探讨MRI对盘状半月板损伤的诊断价值和意义。方法 回顾本院经MRI诊断盘状半月板损伤，并根据其不同表现分为Ⅰ、Ⅱ、Ⅲ级，对照关节镜检查结果进一步分析。结果 根据MRI表现22例盘状半月板中Ⅰ级损伤4例，Ⅱ级损伤7例，Ⅲ级损伤11例；经关节镜对照诊断准确率分别为100％（4／4）、85．7％（6／7）、90．9％（10／11）。结论 MRI是诊断盘状半月板损伤的重要方法，提高MRI诊断准确率对手术治疗盘状半月板损伤有指导性意义。     

Minimally invasive surgery

During the last 10 years, minimally invasive surgery has influenced the techniques used in every specialty of surgical medicine. This development has not only led to the replacement of conventional procedures with minimally invasive ones, but has also stimulated surgeons to reevaluate conventional approaches with regard to perioperative parameters such as pain medication. However, two major drawbacks have emerged with the introduction of this new technique: firstly, the prolonged learning curve for most surgeons, in comparison with the learning process in open surgery; and secondly, increased costs due to investment in the equipment required and the use of disposable instruments, as well as longer operating times. In the various health-care systems around the world, these increased costs are not always compensated for by shorter hospital stays. This review focuses on major areas of indication for minimally invasive surgery in the gastrointestinal tract. These include functional disorders of the upper and lower gastrointestinal tract, obesity surgery, minimally invasive techniques in gastric and hepatobiliary surgery and in other solid organs, and laparoscopic colorectal surgery. The shortening of the hospitalization period has led to increasing use of outpatient laparoscopic surgery, and many centers specializing in day-care surgery are using these techniques. The frontiers are being pushed even further, as the size of the instruments is reduced to achieve better cosmetic results. Clinical research has also focused on the topic of expanding the indications for minimally invasive approaches in the elderly and in high-risk patients, to take advantage of the shorter hospital stays and reduced surgical trauma that are possible. A considerable amount of basic research has been carried out on the stress response during and after minimally invasive procedures, and an improved immune response with the minimally invasive approach has been observed, leading to better results after extensive oncological procedures. Robotic surgery and telesurgery involve new computer-aided methods that allow greater precision in surgical technique, as well as offering an opportunity to supply surgical skill and expertise remotely, over long distances. Minimally invasive surgical techniques are thus now fully established in routine use, and the indications are continuing to expand.     

Minimally invasive surgery

In 1987, Mouret performed the first laparoscopic cholecystectomy - dramatically changing the history of surgical practice. No other aspect of surgery has developed with such vigor as laparoscopy. Previously, surgeons had attempted to define the maximum level of surgical intervention a patient could withstand - but as laparoscopic surgery developed, this paradigm was turned on its head. Minimally invasive surgeons are continuing to determine and redefine how much can be accomplished through smaller incisions and with minimal surgical stress. Laparoscopy is still only in its infancy. This article reviews current aspects of laparoscopic surgery in 1999-2000 in relation to gallbladder, gastric, colorectal, and splenic disease, as well as reviewing the current role of laparoscopic surgery in the treatment of abdominal wall hernias.     

Minimally invasive surgery

Minimally invasive surgery is replacing the traditional open surgical approach for many abdominal procedures. The benefits of reduced pain, quicker return of oral intake, shorter hospitalizations, and improved cosmetic results all support the increasing use of the laparoscopic approach. This review identifies important articles published in the literature on minimally invasive surgery from June 2002 to August 2003, with the objective of identifying future trends and directions in laparoscopic surgery. The topics of articles reviewed in detail include minimally invasive techniques applied to esophageal tumors, morbid obesity, malignant liver tumors, gallbladder disease, pancreatic pathology, colon cancer, and robotic prostatectomy.