关节镜治疗内侧半月板囊肿7例

目的:探讨关节镜治疗内侧半月板囊肿的临床疗效.方法:自2011年6月至2013年1月采用关节镜治疗内侧半月板囊肿7例,男3例,女4例;年龄27 ～63岁,平均(43.93±2.10)岁;发现囊肿时间3～30个月,平均(10.6±1.3)个月.患者均诉有膝关节疼痛,尤其是内侧关节间隙,Pisani征、Caklin征及内侧McMurray征均阳性,术前经MRI检查均能明确诊断.随访6个月,观察治疗前后Lysholm膝关节功能评分变化及临床疗效.结果:本组患者术后Lysholm评分均高于术前;根据Sarimo标准,优6例,良1例.结论:采用关节镜治疗内侧半月板囊肿,取代了大切口囊肿及内侧半月板全切的传统方法,最大限度地保留了正常半月板,并同时行半月板损伤修复,术后膝关节功能恢复好,值得临床推广应用.

Treatment of 7 patients with medial meniscal cyst under arthroscopy

Objective: To investigate clinical effects of arthroscopy in the treatment of medial meniscal cyst.Methods: From June 2011 to January 2013,7 patients with medial meniscal cyst were treated with arthroscopy. There were 3 males and 4 females,ranging in age from 27 to 63 years old,with a mean age of (43.93±2.10) years old. The cysts have been discovered for 3 to 30 months,with a mean time of (10.6±1.3) months. All the patients complained of knee pain,especially in the medial joint gap. The Pisani sign,Caklin sign and medial McMurray sign were all positive. Preoperative MRI examination confirmed the diagnosis. Lysholm score changes and clinical efficacy were observed through a six-month follow-up.Results: The postoperative Lysholm scores were all significantly higher than the preoperative scores. According to Sarimo standard,6 patients got an excellent result,and 1 good.Conclusion: Arthroscopic treatment of medial meniscal cyst has replaced the traditional method,which could retain the normal meniscus as much as possible and repair the meniscus injury simultaneously,as well as get a good curative effect and a good recovery of knee function. This method is worthy of clinical application.